Difference between revisions of "Dental problems"

 
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==Dentoalveolar Injuries==
+
==Types==
 +
{{Template:Dental Problems DDX}}
  
* '''Fracture'''
+
{{Maxillofacial trauma DDX}}
** Enamel
 
*** Routine f/u
 
*** Nothing to do�
 
** Enamel + dentin (yellowish)
 
*** Adult
 
**** Next day f/u
 
**** Consider placing calcium hydroxide paste over fracture site as needed for comfort<span style="line-height: 20px">�</span>
 
*** Child�
 
**** Place calcium hydroxide paste
 
***** More important in children than adults because children have less dentin to protect the pulp�
 
**** Immediate referral�
 
** Enamel + dentin + pulp (reddish)
 
*** Immediate referral (dental emergency)
 
*** If no dentist is available, place moist cotton over exposed pulp and cover with foil or seal with canal sealant
 
*** Consider antibiotics (penicillin or clindamycin)�
 
* '''Subluxation'''
 
** Minimally mobile
 
*** Soft diet for 14 days
 
** Markedly mobile
 
*** Immediate referral for stabilization
 
*** Temporizing measure: �Periodontal pack in which tooth is bonded to its two neighboring teeth on both sides
 
* '''Avulsion'''
 
** Dental emergency
 
** Where is the tooth?
 
*** May be intruded, aspirated, swallowed, or embedded in the oral mucosa
 
**** Consider facial films, CXR�
 
** Adult
 
*** Replace avulsed tooth as soon as possible! (as long as no alveolar ridge fx, no severe socket injury)
 
**** Rinse tooth in saline, socket is suctioned (if necessary), reimplant tooth, bond tooth to neighboring teeth
 
**** Manipulate tooth only by the crown�
 
*** <span style="line-height: 20px">Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline</span>
 
*** <span style="line-height: 20px">Tetanus vaccine if indicated��</span>
 
*** Consider antibiotics (penicillin or clindamycin)�<span style="line-height: 20px">�</span><span style="line-height: 20px">�</span>
 
** Child
 
*** Do not reimplant primary teeth
 
**** Refer to pedodontist for space maintainer<span style="line-height: 20px">�</span>
 
* <span style="line-height: 20px">'''Bleeding Socket'''</span>
 
** <span style="line-height: 20px">'''�'''�Apply pressure by having pt bite on gauze or tea bag</span>
 
 
 
==Odontogenic infections==
 
 
 
==<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Dental Carie/Pulpitis</font></font></font>==
 
 
 
<font face="inherit"><font size="13px">dental referal only</font></font>
 
 
 
<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">�</font></font></font>
 
 
 
==<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Periapical vs. Periodontal Abcess</font></font></font>==
 
 
 
<font face="inherit"><font size="13px">drain</font></font>
 
 
 
<font face="inherit"><font size="13px">PCN V</font></font>
 
 
 
<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">�</font></font></font>
 
 
 
<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Exquisite pain to percussion suggests an underlying periapical abscess,</font></font></font>
 
 
 
More commonly, fluctuant abscesses are a result of periodontal abscesses and are best treated with an incision and drainage
 
 
 
===See Also:===
 
 
 
<font face="inherit"><font size="13px">[/w/page/Acute-Alveolar-Osteitis-(Dry-Socket) Acute Alveolar Osteitis (Dry Socket)]</font></font>
 
 
 
<font face="inherit"><font size="13px">[/w/page/Dental%C2%A0Numbers Dental�Numbers]</font></font>
 
 
 
 
 
 
 
==Dentoalveolar Injuries==
 
 
 
 
 
* Fracture
 
* Enamel
 
* Routine f/u
 
* Nothing to do
 
* Enamel + dentin (yellowish)
 
* Adult
 
* Next day f/u
 
* Consider placing calcium hydroxide paste over fracture site as needed for comfort
 
* Child
 
* Place calcium hydroxide paste
 
* More important in children than adults because children have less dentin to protect the pulp
 
* Immediate referral
 
* Enamel + dentin + pulp (reddish)
 
* Immediate referral (dental emergency)
 
* If no dentist is available, place moist cotton over exposed pulp and cover with foil or seal with canal sealant
 
* Consider antibiotics (penicillin or clindamycin)
 
* Subluxation
 
* Minimally mobile
 
* Soft diet for 14 days
 
* Markedly mobile
 
* Immediate referral for stabilization
 
* Temporizing measure:  Periodontal pack in which tooth is bonded to its two neighboring teeth on both sides
 
* Avulsion
 
* Dental emergency
 
* Where is the tooth?
 
* May be intruded, aspirated, swallowed, or embedded in the oral mucosa
 
* Consider facial films, CXR
 
* Adult
 
* Replace avulsed tooth as soon as possible! (as long as no alveolar ridge fx, no severe socket injury)
 
* Rinse tooth in saline, socket is suctioned (if necessary), reimplant tooth, bond tooth to neighboring teeth
 
* Manipulate tooth only by the crown
 
* Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline
 
* Tetanus vaccine if indicated 
 
* Consider antibiotics (penicillin or clindamycin) 
 
* Child
 
* Do not reimplant primary teeth
 
* Refer to pedodontist for space maintainer
 
* Bleeding Socket
 
*  Apply pressure by having pt bite on gauze or tea bag
 
 
 
 
==Odontogenic infections==
 
 
 
 
 
 
 
 
Dental Carie/Pulpitis==
 
 
 
 
 
 
 
 
dental referal only
 
 
 
 
 
 
Periapical vs. Periodontal Abcess==
 
 
 
 
 
drain
 
 
 
PCN V
 
 
 
 
 
 
Exquisite pain to percussion suggests an underlying periapical abscess,
 
 
 
 
 
 
More commonly, fluctuant abscesses are a result of periodontal abscesses and are best treated with an incision and drainage
 
 
 
 
 
 
===See Also:===
 
 
 
 
 
Acute Alveolar Osteitis (Dry Socket)
 
 
 
Dental Numbers
 
  
 +
{{Facial swelling DDX}}
  
 +
==See Also==
 +
*[[Dental numbers]]
 +
*[[Maxillofacial trauma]]
 +
*[[Diagnoses by Body Part (Main)]]
  
 +
==References==
 +
<references/>
  
 
[[Category:ENT]]
 
[[Category:ENT]]
 +
[[Category:ID]]
 +
[[Category:Trauma]]
 +
[[Category:Symptoms]]

Latest revision as of 00:49, 12 February 2017