Difference between revisions of "Dental problems"

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==Dentoalveolar Injuries==
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* '''Fracture'''
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** Enamel
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*** Routine f/u
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*** Nothing to do�
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** Enamel + dentin (yellowish)
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*** Adult
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**** Next day f/u
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**** 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
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***** 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'''
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** 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'''
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** Dental emergency
 +
** Where is the tooth?
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*** May be intruded, aspirated, swallowed, or embedded in the oral mucosa
 +
**** Consider facial films, CXR�
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** 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>
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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>
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** Child
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*** Do not reimplant primary teeth
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**** 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==
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==<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Dental Carie/Pulpitis</font></font></font>==
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<font face="inherit"><font size="13px">dental referal only</font></font>
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<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">�</font></font></font>
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==<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Periapical vs. Periodontal Abcess</font></font></font>==
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<font face="inherit"><font size="13px">drain</font></font>
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<font face="inherit"><font size="13px">PCN V</font></font>
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<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">�</font></font></font>
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<font size="13px"><font face="&#39;Segoe UI&#39;, &#39;Lucida Grande&#39;, Arial"><font color="#444444">Exquisite pain to percussion suggests an underlying periapical abscess,</font></font></font>
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More commonly, fluctuant abscesses are a result of periodontal abscesses and are best treated with an incision and drainage
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===See Also:===
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<font face="inherit"><font size="13px">[/w/page/Acute-Alveolar-Osteitis-(Dry-Socket) Acute Alveolar Osteitis (Dry Socket)]</font></font>
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<font face="inherit"><font size="13px">[/w/page/Dental%C2%A0Numbers Dental�Numbers]</font></font>
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 +
 +
 
==Dentoalveolar Injuries==
 
==Dentoalveolar Injuries==
  

Revision as of 04:57, 13 March 2011

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:

[/w/page/Acute-Alveolar-Osteitis-(Dry-Socket) Acute Alveolar Osteitis (Dry Socket)]

[/w/page/Dental%C2%A0Numbers Dental�Numbers]


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