Dental Trauma Essay

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. The American Academy of Pediatric Dentistry and the British Society of Pediatric Dentistry with the International Association of Dental Traumatology (IADT) have created to guidelines that outline the different types of trauma along with their methods of diagnosis and treatment. Traumatic dental injuries (TDIs) most frequently occur in preschool, school-age children and young adults. 25% of all school children experience dental trauma. The most common TDIs in the primary dentition is luxation (Dent Traumatol 2012;28:2-12). The following guidelines for management of dental traumatic injuries in primary teeth were attained using the AAPD and IADT.

Dental traumatic injuries include:
Fractures of the the teeth and alveolar bone
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Treatment:
Clean with water spray, saline or chlorhexidine and disinfect with sodium hypochlorite or Peridex
Emergency: glass ionomer cement for temporary coverage
Restore with composite resin
Follow up: 6-8 weeks and a year

Crown-fracture - uncomplicated
Definition: an enamel fracture or an enamel-dentin fracture that does not involve the pulp.
Diagnosis:
Clinical: visible loss of tooth structure and exposed pulp
Percussion: Not tender
Mobility: normal
Sensitivity: not reliable
Radiographic: loss of tooth structure with pulpal involvement
Recommended: occlusal to r/o displacement of root or root fracture
Treatment: Pulpotomy, pulpectomy, and extraction
Follow up: 1 week. Clinical and radiographic 6-8 weeks and a year.

Crown/Root fracture
Definition: an enamel, dentin, and cementum fracture with or without pulp exposure.
Diagnosis:
Clinical findings: mobile coronal fragment attached to the gingiva with or without a pulp exposure.
Percussion: tender
Mobility: at least one coronal fragment
Sensitivity: not reliable
Radiographic findings: radiolucent oblique line that comprises crown and root in a vertical direction
Recommended: occlusal
Treatment: When the primary tooth cannot or should not be restored, the entire tooth should be removed unless retrieval of apical fragments may result in damage to the succedaneous tooth.
Prognosis:
Follow up: Fragment removal only: clinical control after 1 week and

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