|
|
| (42 intermediate revisions by 5 users not shown) |
| Line 1: |
Line 1: |
| − | ==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="'Segoe UI', 'Lucida Grande', 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="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">�</font></font></font>
| |
| − | | |
| − | ==<font size="13px"><font face="'Segoe UI', 'Lucida Grande', 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="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">�</font></font></font>
| |
| − | | |
| − | <font size="13px"><font face="'Segoe UI', 'Lucida Grande', 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]] |
