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==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<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== | |||
==<font size="13px"><font face="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">Dental Carie/Pulpitis</font></font></font>== | |||
<font face="inherit"><font size="13px">dental referal only</font></font> | |||
<font size="13px"><font face="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">�</font></font></font> | |||
==<font size="13px"><font face="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">Periapical vs. Periodontal Abcess</font></font></font>== | |||
<font face="inherit"><font size="13px">drain</font></font> | |||
<font face="inherit"><font size="13px">PCN V</font></font> | |||
<font size="13px"><font face="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">�</font></font></font> | |||
<font size="13px"><font face="'Segoe UI', 'Lucida Grande', Arial"><font color="#444444">Exquisite pain to percussion suggests an underlying periapical abscess,</font></font></font> | |||
More commonly, fluctuant abscesses are a result of periodontal abscesses and are best treated with an incision and drainage | |||
===See Also:=== | |||
<font face="inherit"><font size="13px">[/w/page/Acute-Alveolar-Osteitis-(Dry-Socket) Acute Alveolar Osteitis (Dry Socket)]</font></font> | |||
<font face="inherit"><font size="13px">[/w/page/Dental%C2%A0Numbers Dental�Numbers]</font></font> | |||
==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�
- Place calcium hydroxide paste
- Adult
- 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)�
- Enamel
- 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
- Minimally mobile
- Avulsion
- Dental emergency
- Where is the tooth?
- May be intruded, aspirated, swallowed, or embedded in the oral mucosa
- Consider facial films, CXR�
- May be intruded, aspirated, swallowed, or embedded in the oral mucosa
- 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)���
- Replace avulsed tooth as soon as possible! (as long as no alveolar ridge fx, no severe socket injury)
- Child
- Do not reimplant primary teeth
- Refer to pedodontist for space maintainer�
- Do not reimplant primary teeth
- 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