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22 Cards in this Set

  • Front
  • Back
What are the most common causes of Dento-Alveolar fxs in children?
Play (playground and contact sports)
Child abuse
In the US, what percentage of physical child abuse occurs in the head and neck region?
>50%
What are the most common causes of Dento-Alveolar fxs in adults?
-MVC
-Contact sports
-Altercations
-Work related
-Iatrogenic misadventures
Per studies by the Risk Management Foundation,
what was the
most frequent anesthesia-related claim,
often resulting in litigation.
Dental trauma
What are 2 common ways in which dental trauma occurs while under an anesthetic?
-Poor laryngoscopy technique
-Unmonitored biting force in the sedated pt.
What are the most common type of dentoalveolar injuries in 1) primary dentition and 2) permanent dentition
Luxation (~75%)
Fx (~40%)
With a blow to the chin region, what region of the dentition is at greatest risk of indirect trauma?
Posterior dentition
What are 5 techniques used to evaluate dental trauma?
Inspection
Palpation
Percussion
Trans-illumination
Pulp testing
What are the 2 most common dental trauma classification systems?
Ellis
Andreasen
For what dental trauma situations is direct pulp capping with CaOH alone indicated?
Pinpoint exposures with open apex
For what dental trauma situations is pulp capping and pulpotomy indicated?
-Open apex with larger pulp exposures
-Open apex with small pulp exposures found after 24 hrs from injury
-Closed apex, vital pulp and pinpoint exposure seen within 24 hrs from injury
When is pulpectomy indicated?
Pulp exposure > 24 hrs with closed apex
Larger pulp exposure with closed apex
What is the treatment of root fxs of the cervical or middle thirds?
Rigid splinting for 12 weeks
What are the treatment options for root fxs of the coronal third?
Extraction
Orthodontic extrusion
External root resorption is most commonly seen after _________ injuries and less in _________ injuries.
Intrusive
Subluxation
External root resorption is classified into three types:
(1) surface resorption
(2) replacement resorption
(3) inflammatory resorption
Identifying features of root surface resorption:
Self limiting
No loss or widening of lamina dura
Limited to cementum
Identifying features of root replacement resorption:
aka ankylosis
No lamina dura
Progressive root resorption
Identifying features of root inflammatory resorption:
Resorption of cementum and dentin
Radiolucency of adjacent bone
Internal root resorption is classified into 2 types:
(1) internal replacement resorption
(2) internal inflammatory resorption
Identifying features of internal replacement resorption:
Normal pulpal tissues are replaced by bone or cementum
Identifying features of internal inflammatory resorption:
Oval shaped
Necrotic pulp
Development of granulation tissues with giant-cells
RCT required