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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>
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− | *** Child�
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− | **** 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
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− | *** 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�
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− | *** <span style="line-height: 20px">Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline</span>
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− | *** <span style="line-height: 20px">Tetanus vaccine if indicated��</span>
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− | *** 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>
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− | * <span style="line-height: 20px">'''Bleeding Socket'''</span>
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− | ** <span style="line-height: 20px">'''�'''�Apply pressure by having pt bite on gauze or tea bag</span>
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− | | |
− | ==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>
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− | | |
− | <font size="13px"><font face="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">�</font></font></font>
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− | | |
− | ==<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]] |