Paeds - Trauma Flashcards

1
Q

Name the diagnosis for: total displacement out of the socket?

A

Avulsion

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2
Q

Name the diagnosis for: displacement, mobility and several tooth movement

A

Alveolar fracture

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3
Q

Name the diagnosis for: displacement, mobility, single tooth with x-ray signs for root fracture?

A

Root fracture

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4
Q

Name the diagnosis for: displacement, mobility, single tooth with no x-ray signs for root fracture?

A

Extrusion

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5
Q

Name the diagnosis for: displacement, no mobility with protrusion/retrusion?

A

Lateral luxation

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6
Q

Name the diagnosis for: displacement, no mobility with intrusion?

A

Intrusion

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7
Q

Name the diagnosis for: no displacement but with loosening?

A

Subluxation

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8
Q

Name the diagnosis for: no displacement, no loosening but +ve TTP

A

Concussion

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9
Q

Name the diagnosis for: no displacement, no loosening but -ve TTP and no fracture?

A

No trauma

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10
Q

Name the diagnosis for: no displacement, no loosening but -ve TTP and fracture below gingival margin?

A

Crown-root fracture

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11
Q

Name the diagnosis for: no displacement, no loosening but -ve TTP and no fracture below gingival margin?

A

Crown fracture

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12
Q

What is the treatment for an enamel dentine fracture?

A

Seal completely the involved dentine, with GIC to prevent microleakageIn larger fractures, the tooth can be restored with composite

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13
Q

What is the treatment for enamel dentine pulp fracture?

A

Partial pulpotomyPlace CaOH over the pulp, then covered with a lining such as RMGIC, then restore with composite

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14
Q

Follow-up procedure for enamel dentine crown fracture?

A

3-4 weeks

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15
Q

Follow-up procedure for enamel dentine pulp crown fracture?

A

1 week6-8 week with radio1 year with radio

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16
Q

What is the treatment for enamel dentine root fracture?

A

Fragment removal only, if fracture is only small part of root and fragment is large enough allows coronal restorationExtraction in other cases

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17
Q

Follow-up procedure for enamel dentine root fracture?

A

Fragment removal only:- 1 week- 6-8 week with radio- 1 year

18
Q

What is the treatment for root fracture?

A

If coronal fragment not displaced no treatment is requiredIf coronal fragment displaced, extract the fragment, but apilca fragment left to be resorbed

19
Q

Follow-up procedure for root fracture?

A

No displacement:- 1 week- 6-8 week - 1 year radioExtraction:- 1 year radio

20
Q

What is the treatment for alveolar fracture?

A

Reposition any displaced segment and then splintStabilise segment for 4 weeks with splintMonitor

21
Q

Follow-up procedure for alveolar fracture?

A

1 week3-4 week radio with splint removal6-8 week with radio1 year with radio

22
Q

What is the treatment for concussion?

A

Observation

23
Q

Follow-up procedure for concussion?

A

1 week6-8 week

24
Q

What is the treatment for subluxation?

A

ObservationClean with chlorhexidine twice a day for a week

25
Q

Follow-up procedure for subluxation?

A

1 week6-8 weekCheck for discolouration

26
Q

What is the treatment for extrusive luxation?

A

Dependent on displacement, mobility, root formation and cooperationMinor extrusion (<3mm), reposition or leave tooth for spontaneous alignmentExtraction for severe extrusion

27
Q

Follow-up procedure for extrusive luxation?

A

1 week6-8 week radio6 month radio1 year radioDiscolouration may occur

28
Q

What is the treatment for lateral luxation?

A

No occlusal interference allow spontaneous repositionMinor occlusal interference, slight grinding necessaryMajor occlusal interference, needs to be gently repositioned with LASevere displacement, extraction is only choice

29
Q

Follow-up procedure for lateral luxation?

A

1 week2-3 week6-8 weeks radio1 year with radio

30
Q

What is the treatment for intrusive luxation?

A

If apex displaced towards or through labial bone plate, allow spontaneous repositionIf apex into tooth germ, extract

31
Q

Follow-up procedure for intrusive luxation?

A

1 week3-4 week with radio6-8 week6 month with radio1 year with radio

32
Q

What are the clinical findings for alveolar fracture?

A

Involves alveolar boneSegment mobility and dislocation are common

33
Q

What are the clinical findings for concussion?

A

Tender to touchNormal mobility and no sulcular bleeding

34
Q

What are the clinical findings for subluxation?

A

Increased mobility but not displacedBleeding from gingival crevice

35
Q

What are the clinical findings for extrusive luxation?

A

Partial displacement out of socketTooth appears elongated and excessively mobile

36
Q

What are the clinical findings for lateral luxation?

A

Tooth is displaced palatally/lingually or labillayUsually immobile

37
Q

What are the clinical findings for intrusive luxation?

A

Tooth is displaced through the labial bone plate or impinging on succeeding tooth bud

38
Q

What are the radiographic findings for intrusive luxation?

A

Apical tip can appear shorter

39
Q

What are the radiographic findings for lateral luxation?

A

Increases PDL space apically

40
Q

What are the radiographic findings for extrusive luxation?

A

Increases PDL space apically

41
Q

What are the radiographic findings for alveolar fracture?

A

Horizontal fracture line to the apices