Types of Paediatric Dental Trauma

Question 1

what is the aetiology of paediatric trauma

Answer 1

falls
bumping into objects
2-4 years old

Question 2

what are the two main classifications of trauma

Answer 2

dental hard tissues and pulp
supporting tissues

Question 3

what are the classifications of dental hard tissue and pulp trauma

Answer 3

enamel fracture
enamel and dentine fracture
enamel dentine and pulp fracture
crown-root fracture
root fracture

Question 4

what are the classifications of supporting tissue trauma

Answer 4

concussion
subluxation
lateral luxation
intrusion
extrusion
avulsion
alveolar fracture

Question 5

what is an enamel fracture

Answer 5

fracture affects enamel only

Question 6

what is an enamel-dentine fracture

Answer 6

fracture involves enamel and dentine and pulp is not exposed

Question 7

what is a complicated enamel, dentine and pulp fracture

Answer 7

fracture involves enamel and dentine plus the pulp is exposed

Question 8

what is a crown-root fracture

Answer 8

involves enamel, dentine and root
pulp may or may not be involved (complicated vs uncomplicated)

Question 9

what is a concussion injury

Answer 9

DPL injury
tooth is TTP
no displacement and no bleeding into sulcus

Question 10

what is a subluxation injury

Answer 10

tooth is TTP and has increased mobility
tooth is not displaced by bleeding from gingival crevice present

Question 11

what is a lateral luxation injury

Answer 11

tooth displaced usually in a paltal/ lingual or labial direction

Question 12

what is an intrusion injury

Answer 12

tooth is usually displaced through the labial bone plate or can impinge on permanent tooth bud

Question 13

what is an extrusion injury

Answer 13

partial displacement of tooth out of the socket

Question 14

what is an avulsion injury

Answer 14

tooth is completely out of the socket

Question 15

what is an alveolar fracture

Answer 15

fracture involves alveolar bone and may extend to adjacent bone
mobility with several teeth moving together likely

Question 16

what are the six aspects of a trauma stamp

Answer 16

mobility
colour
TTP
sinus
percussion note
radiograph

Question 17

what is the treatment for an enamel fracture

Answer 17

smooth sharp edges

Question 18

what is the treatment for an enamel/ dentine fracture

Answer 18

cover all exposed dentine with GI or composite

Question 19

what are treatment options for enamel/ dentine/ pulp fracture

Answer 19

partial pulpotomy
extract

Question 20

what is the treatment for crown/ root fracture if it is restorable and there is no pulp exposed

Answer 20

cover exposed dentine with GI

Question 21

what is the treatment for crown/ root fracture where the tooth is restorable but the pulp is exposed

Answer 21

pulpotomy or endo

Question 21

what is the treatment for crown/ root fracture if tooth is unrestorable

Answer 21

extract loose fragments

Question 22

what is the treatment for root fracture where coronal fragment is not displaced

Answer 22

no treatment

Question 23

what is the treatment for root fracture where the coronal fragment is displaced but not excessively mobile

Answer 23

leave coronal fragment to spontaneously reposition even if some occlusal interference

Question 24

what is the treatment for root fracture where coronal fragment is displaced and excessively mobile and interfering with occlusion

Answer 24

extract reposition loose coronal fragment and splint

Question 25

what is the management for a concussion injury

Answer 25

no treatment observe

Question 26

what is the management for a subluxation injury

Answer 26

no treatment observe

Question 27

what is the treatment for lateral luxation with minimal occlusal interference

Answer 27

allow to reposition spontaneously

Question 28

what is the treatment for a lateral luxation with severe displacement

Answer 28

extract reposition and splint

Question 29

what is the management for an intrusion injury

Answer 29

allow to spontaneously reposition, irrespective of direction of displacement

Question 30

what is the management for an extrusion injury that is not interfering with occlusion

Answer 30

spontaneous repositioning

Question 31

what is the management of an extrusion injury with excessive mobility or extruded more than 3mm

Answer 31

extract

Question 32

what is the management of an avulsion injury

Answer 32

radiograph to confirm avulsion do not replant

Question 33

what is the treatment for an alveolar fracture

Answer 33

reposition fragment stabilise with flexible splint to adjacent uninjured teeth for 4 weeks