Difference between revisions of "Dental problems"

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==Dentoalveolar Injuries==
{{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==
Dental Carie/Pulpitis==
dental referal only
Periapical vs. Periodontal Abcess==
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)]]

Latest revision as of 00:49, 12 February 2017