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}}
  
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{{Maxillofacial trauma DDX}}
  
* Fracture
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{{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==
 
 
 
 
 
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
 
 
 
  
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==See Also==
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*[[Dental numbers]]
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*[[Maxillofacial trauma]]
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*[[Diagnoses by Body Part (Main)]]
  
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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