Difference between revisions of "Dental problems"

 
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==Dentoalveolar Injuries==
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==Types==
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{{Template:Dental Problems DDX}}
  
* '''Fracture'''
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{{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
 
*** Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline</span>
 
*** 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==
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{{Facial swelling DDX}}
===Dental Carie/Pulpitis===
 
#dental referral 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==
 
==See Also==
Acute Alveolar Osteitis (Dry Socket)
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*[[Dental numbers]]
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*[[Maxillofacial trauma]]
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*[[Diagnoses by Body Part (Main)]]
  
Dental Numbers
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==References==
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<references/>
  
 
[[Category:ENT]]
 
[[Category:ENT]]
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[[Category:ID]]
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[[Category:Trauma]]
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[[Category:Symptoms]]

Latest revision as of 00:49, 12 February 2017