Dental fracture: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*Localized tooth fracture | |||
*History of oral trauma | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Evaluation== | ==Evaluation== | ||
*Clinical diagnosis | |||
*Consider obtaining panorex to evaluate for associated bone fracture | |||
==Management== | ==Management== | ||
*Enamel ('''Ellis Class I''') | |||
**Routine follow up only; nothing to do | |||
*Enamel + dentin (yellowish) ('''Ellis Class II''') | |||
**Patients experience sensitivity to hot/cold stimuli and air passing over tooth during breathing | |||
**Cover exposed dentin with calcium hydroxide to decrease pulpal contamination | |||
**Next day follow up | |||
*Enamel + dentin + pulp (reddish) ('''Ellis Class III''') | |||
**On wiping fractured surface with gauze, blood is easily seen | |||
**Immediate dental referral (dental emergency) - should be seen within 24 hours | |||
**If not able to be seen immediately, cover exposed pulp with calcium hydroxide | |||
==Disposition== | ==Disposition== | ||
*Discharge with dental follow-up | |||
==See Also== | ==See Also== | ||
*[[Dental | *[[Dental problems]] | ||
==Video== | ==Video== | ||
Revision as of 00:41, 12 February 2017
Background
Clinical Features
- Localized tooth fracture
- History of oral trauma
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
- Clinical diagnosis
- Consider obtaining panorex to evaluate for associated bone fracture
Management
- Enamel (Ellis Class I)
- Routine follow up only; nothing to do
- Enamel + dentin (yellowish) (Ellis Class II)
- Patients experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
- Cover exposed dentin with calcium hydroxide to decrease pulpal contamination
- Next day follow up
- Enamel + dentin + pulp (reddish) (Ellis Class III)
- On wiping fractured surface with gauze, blood is easily seen
- Immediate dental referral (dental emergency) - should be seen within 24 hours
- If not able to be seen immediately, cover exposed pulp with calcium hydroxide
Disposition
- Discharge with dental follow-up
See Also
Video
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