Difference between revisions of "Dental problems"

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==Dentoalveolar Injuries==
{{Template:Dental Problems DDX}}
{{Maxillofacial trauma DDX}}
* Fracture
{{Facial swelling 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
* 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==
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
==See Also==
*[[Dental numbers]]
*[[Maxillofacial trauma]]
*[[Diagnoses by Body Part (Main)]]

Latest revision as of 00:49, 12 February 2017