Tooth Trauma due to various etiology either causes structural loss or vitality loss. Both can be recovered depending on type of trauma. Horizontal, Vertical, Subluxation, Concussion, Avulsion are different types of fracture. Method to treat them also depends on trauma. RCT, Extraction, Splinting or sometimes no treatment needed if there is horizontal fracture at apical part. Call us to book your appointment:- +919818894041,01142464041 Follow our link:- Google link: https://business.google.com/dashboard/l/04970356233769420071 Facebook link for Dental Courses: https://www.facebook.com/dentalcoursesdelhi/ Facebook link for Dental Treatments: https://www.facebook.com/sachdevadental/ You tube Link: https://www.youtube.com/user/drrajatsachdeva Linkedin link: https://www.linkedin.com/in/drrajatsachdeva/ Slideshare: https://www.slideshare.net/drrajatsachdeva Twitter Page : https://twitter.com/drrajatsachdeva Instagram page : https://www.instagram.com/surgicalmasterrajat/ Practo Profile : https://www.practo.com/delhi/doctor/dr-rajat-sachdeva-dentist Blogger Profile : http://drrajatsachdeva.blogspot.com/ Facial Aesthetics Facebook Page : https://www.facebook.com/facialaesthetics.delhi Facial Aesthetics you tube channel : http://www.youtube.com/channel/UCheM4wF9nWGXJYOmScvsQNw

1. TOOTH INJURIES

2. Reason of trauma to tooth
• Grossly carious / Decayed
tooth
• Accidents
• Chewing hard food
• Opening bottles, walnut
• Assault
• Excessive grinding of teeth
• Teeth with RCT and have
not received a crown

3. TYPES OF TOOTH TRAUMA

4. • Crown Fractures
• Enamel
• Enamel and Dentin
• Enamel, Dentin and
Pulp

5. • Root Fractures
• Horizontal – A
horizontal crack in the
tooth root
• Vertical – a vertical
crack in the tooth root

6. • Displaced or loosened teeth within the socket
• Concussion – The tooth has absorbed
the force of the injury
• Displacement – The tooth has become
dislocated inside the socket
• Avulsion – The tooth is out of the socket

7. Assessing History
• Mechanism of injury including
associated injuries
• Previous injuries, crowns or prostheses
• Time since injury
• Location of permanent tooth fragments

8. EXAMINATION
• Symmetry in the mouth
• Bite; check for malocclusion
• TMJ's
• Numbness, intra- or extra-oral bruising
• Bony steps in maxilla or mandible
• Lift the lips to look for soft tissue injury
• Type of tooth and whether permanent or
primary

9. ENAMEL FRACTURE
• SIGN AND SYMPTOMS
• No tenderness / pain
• No mobility
• Tooth seems to be
chipped minimally

10. • TREATMENT -
• Bonding, if the broken tooth fragment is
available
• Restoration with composite resin

11. ENAMELAND DENTIN FRACTURE
• SIGN AND SYMPTOMS -
• No / Mild pain
• No mobility
• Sensitivity to hot or
cold
• Yellow dentin visible

12. • TREATMENT –
• Bonding, if the broken
tooth fragment is available
• GIC or bonding agent and
composite resin can be
used
• If the exposed dentin is
within 0.5mm of the pulp,
place calcium hydroxide
base and cover with a
restorative material.

13. ENAMEL, DENTIN AND PULP
• SIGN AND SYMPTOMS
• Moderate to severe
Pain / tenderness present
• Sensitivity would be
evident
• No mobility.

14. • TREATMENT
• Pulp capping or Partial pulpotomy – to
maintain pulp vitality.
• RCT - In patients with mature apical
development
• Bonding if the broken tooth fragment is
available
• Restoration after pulp treatment with
dental restorative materials

15. VERTICAL ROOT FRACTURE
• Fracture line is parallel to
the long axis of tooth
• SIGNS AND SYMPTOMS
• Pain on biting
• Pain may be mild to
moderate in intensity
• Infection may take place

16. • TREATMENT
• In single rooted teeth – extraction is only
treatment
• In multi rooted teeth – fractured root can be
removed by hemisection

17. HORIZONTAL ROOT FRACTURE
• When fracture line is perpendicular to the long
axis of the tooth.
• SIGNS AND SYMPTOMS
• In apical third – mild or no pain, only detected
radiographically
• In middle third – pain and tender on percussion
infection or swelling
• In coronal third – severe pain and tender on
percussion, infection or swelling

18. • TREATMENT
• Re-positioning, stabilization and occlusion
adjustment
• In case of pulpal damage, root canal
treatment.

19. CONCUSSION
• Injury to the tooth-supporting structures
without increased mobility or displacement
of the tooth
• SIGNS AND SYMPTOMS
• Bleeding may be present.
• Tender on percussion positive.
• Non displaced tooth

20. • TREATMENT
• No treatment is
needed.
• Monitor pulpal
condition for at
least one year.

21. SUBLUXATION
• Injury to periodontal tissue.
• SIGNS AND SYMPTOMS
• Mobility of tooth.
• Undisplaced tooth.
• Pulpal damage can occur.
• Tender on percussion
• TREATMENT
• Splinting and RCT.

22. AVULSION
Tooth is completely out of the socket.
• SIGNS AND SYMPTOMS
• Tooth is knocked out completely from socket.
• Bleeding tends to occur.
• Surrounding area is inflamed and lacerated.

23. • TREATMENT
• Early management within 20–40 minutes
of injury needs to be done.
• Deciduous teeth should not be
replanted due to the risk of damaging
the permanent tooth germ.
• After rising the tooth gently, store in
saliva, milk or saline.

25. RCT one month
after re-
implantation.

26. How to prevent dental injuries?
• Prevention of dental injuries involves aligning
protruding front teeth with dental braces and
using face masks and mouthguards while
participating in sports.
• Mouthguards have been shown to reduce
trauma not only to teeth, gums, and the
surrounding jaw bone but also the TMJ.

27. • Mouthguards can also reduce the intensity
and number of head concussions, as well as
reduce pressure and bone deformation of the
skull when a force is directed to the chin.

28. • It is now recommended or required that a
mouthguard be worn for the following
sports: football, baseball, basketball, hockey,
wrestling, boxing, martial arts, volleyball,
rollerblading, skating, skateboarding, and
bicycling.
• Mouthguards can be purchased in
pharmacies but the ideal mouthguards are
custom made by a dentist using a mold taken
of the athlete's upper dental arch.

30. @dentalcoursesdelhi
drrajatsachdeva
drrajatsachdeva
drrajatsachdeva@surgicalmasterrajat
www.facialaestheticsdelhi.com

31. To book an appmt. contact
Dr.Rajat Sachdeva
Dr Sachdeva’s Dental
Aesthetic & Implant
Institute
I 101, Ashok Vihar Phase 1,
Delhi- 110052
Contact us at
Phone : +919818894041
01142464041