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A tooth that has been knocked out of its socket should be cleaned by holding only the crown under running water. It should then be stored in milk or saline solution and taken to the dentist within an hour for replantation into the socket. After replantation, the tooth will need to be splinted to ensure proper positioning as it heals.
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Avulsion
Dental avulsion occurs when a tooth is completely displaced from its socket due to trauma. Management involves immediate replantation at the site of injury if possible, otherwise storing the tooth in transport media like Hank's balanced salt solution. In the dental office, replanted teeth require splinting for 1-8 weeks depending on factors like root development and mobility. Endodontic treatment may be needed within 10-14 days depending on the extraoral dry time and root development to reduce risks of resorption and ankylosis. Long term follow up is needed to monitor complications.
Avulsion of permanent teeth
- Avulsion of permanent teeth most commonly involves maxillary central incisors in children ages 7-9 years old when they are erupting. Boys experience avulsion more than girls.
- If a tooth is avulsed, it should be replanted immediately if clean or cleaned and replanted. It is important to replant the tooth within 10 minutes for the best prognosis.
- After replantation, the tooth should be splinted for 10-14 days and the patient should receive antibiotics and follow up dental treatment which may include root canals or monitoring depending on the maturity of the root.
Traumatic injuries of teeth
The document provides information on traumatic injuries to teeth, including concussions, luxations, and fractures. It describes the clinical signs, radiographic findings, and treatment approaches for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, sometimes with alveolar bone fractures. Fractures are classified as enamel fractures, enamel-dentin fractures, enamel-dentin-pulp fractures, or root fractures. Treatment depends on the specific injury but may include repositioning displaced teeth, pulpotomies, root canals, extractions, or orthodontic/surgical repositioning.
A Road to Managing Dental Trauma with Predictable Results
Dental trauma can range from minor enamel injuries to significant loss of teeth and hard and soft tissues. When faced with such emergencies, the clinician must consider
surgical, restorative, endodontic, and periodontal implications and make quick decisions on a treatment that can lead to the best long term result. In this presentation,
Dr. H. Ryan Kazemi will review various types of dental injuries and a simplified map to choosing the most appropriate treatment quickly and easily. In addition, he will discuss complicating factors and treatment concepts.
Traumatic Dental Injury and Treatment
The document discusses the examination and treatment of various types of dental trauma:
1) It describes examining the patient for injuries to the face, lips, oral muscles and dental region. Radiographs and photographs may also be taken.
2) Several types of dental injuries are outlined, including crown fractures, crown-root fractures, concussions, subluxations, intrusions, extrusions, lateral luxations, root fractures, alveolar fractures, and avulsions.
3) Treatment recommendations are provided for each type of injury, such as flexible splinting, antibiotics, pulp capping, root canals, and follow-up examinations. Replantation of avulsed teeth is
Avulsion
This document discusses dental avulsion, which is the complete displacement of a tooth from its socket, and provides recommendations for treatment. It notes that trauma can cause teeth to be knocked out of their socket. To maintain the viability of the tooth's cells after avulsion, the tooth must be stored in a medium that preserves the cell's normal physiology and metabolism. Recommended storage media include saliva, physiologic saline, and milk. The document outlines the management of an avulsed tooth both on site and in the dental office, including immediate replantation if possible or storage in a preservative medium. It describes the replantation procedure and provides recommendations for splinting and post-operative care to support healing. Potential complications
Dental trauma to primary teeth
This document discusses dental trauma to primary teeth from extrusion and intrusion injuries. Extrusion involves partial displacement of a tooth from its socket, leaving the alveolar bone intact. Intrusion is more severe, with displacement of the tooth into the alveolar bone and comminution of the socket. Diagnosis involves visual examination and radiographs. Treatment depends on the severity of displacement and root development, and may include repositioning, extraction or monitoring for spontaneous re-eruption. Follow-up care including soft diets and hygiene instructions are also outlined.
avulsion
This document discusses dental trauma classifications and management of avulsed teeth. It outlines 9 classes of dental injuries from fractures to tooth displacement. Avulsion, the complete displacement of a tooth, is most common in maxillary teeth of children ages 7-9 years. Prompt reimplantation within 15-20 minutes maximizes success. Complications of reimplantation include ankylosis and inflammatory root resorption. Splinting and antibiotics can reduce complications and promote healing of pulp and periodontal ligament. Regular follow up is needed to monitor healing and detect any issues.
Recommended
Avulsion
Dental avulsion occurs when a tooth is completely displaced from its socket due to trauma. Management involves immediate replantation at the site of injury if possible, otherwise storing the tooth in transport media like Hank's balanced salt solution. In the dental office, replanted teeth require splinting for 1-8 weeks depending on factors like root development and mobility. Endodontic treatment may be needed within 10-14 days depending on the extraoral dry time and root development to reduce risks of resorption and ankylosis. Long term follow up is needed to monitor complications.
Avulsion of permanent teeth
- Avulsion of permanent teeth most commonly involves maxillary central incisors in children ages 7-9 years old when they are erupting. Boys experience avulsion more than girls.
- If a tooth is avulsed, it should be replanted immediately if clean or cleaned and replanted. It is important to replant the tooth within 10 minutes for the best prognosis.
- After replantation, the tooth should be splinted for 10-14 days and the patient should receive antibiotics and follow up dental treatment which may include root canals or monitoring depending on the maturity of the root.
Traumatic injuries of teeth
The document provides information on traumatic injuries to teeth, including concussions, luxations, and fractures. It describes the clinical signs, radiographic findings, and treatment approaches for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, sometimes with alveolar bone fractures. Fractures are classified as enamel fractures, enamel-dentin fractures, enamel-dentin-pulp fractures, or root fractures. Treatment depends on the specific injury but may include repositioning displaced teeth, pulpotomies, root canals, extractions, or orthodontic/surgical repositioning.
A Road to Managing Dental Trauma with Predictable Results
Dental trauma can range from minor enamel injuries to significant loss of teeth and hard and soft tissues. When faced with such emergencies, the clinician must consider
surgical, restorative, endodontic, and periodontal implications and make quick decisions on a treatment that can lead to the best long term result. In this presentation,
Dr. H. Ryan Kazemi will review various types of dental injuries and a simplified map to choosing the most appropriate treatment quickly and easily. In addition, he will discuss complicating factors and treatment concepts.
Traumatic Dental Injury and Treatment
The document discusses the examination and treatment of various types of dental trauma:
1) It describes examining the patient for injuries to the face, lips, oral muscles and dental region. Radiographs and photographs may also be taken.
2) Several types of dental injuries are outlined, including crown fractures, crown-root fractures, concussions, subluxations, intrusions, extrusions, lateral luxations, root fractures, alveolar fractures, and avulsions.
3) Treatment recommendations are provided for each type of injury, such as flexible splinting, antibiotics, pulp capping, root canals, and follow-up examinations. Replantation of avulsed teeth is
Avulsion
This document discusses dental avulsion, which is the complete displacement of a tooth from its socket, and provides recommendations for treatment. It notes that trauma can cause teeth to be knocked out of their socket. To maintain the viability of the tooth's cells after avulsion, the tooth must be stored in a medium that preserves the cell's normal physiology and metabolism. Recommended storage media include saliva, physiologic saline, and milk. The document outlines the management of an avulsed tooth both on site and in the dental office, including immediate replantation if possible or storage in a preservative medium. It describes the replantation procedure and provides recommendations for splinting and post-operative care to support healing. Potential complications
Dental trauma to primary teeth
This document discusses dental trauma to primary teeth from extrusion and intrusion injuries. Extrusion involves partial displacement of a tooth from its socket, leaving the alveolar bone intact. Intrusion is more severe, with displacement of the tooth into the alveolar bone and comminution of the socket. Diagnosis involves visual examination and radiographs. Treatment depends on the severity of displacement and root development, and may include repositioning, extraction or monitoring for spontaneous re-eruption. Follow-up care including soft diets and hygiene instructions are also outlined.
avulsion
This document discusses dental trauma classifications and management of avulsed teeth. It outlines 9 classes of dental injuries from fractures to tooth displacement. Avulsion, the complete displacement of a tooth, is most common in maxillary teeth of children ages 7-9 years. Prompt reimplantation within 15-20 minutes maximizes success. Complications of reimplantation include ankylosis and inflammatory root resorption. Splinting and antibiotics can reduce complications and promote healing of pulp and periodontal ligament. Regular follow up is needed to monitor healing and detect any issues.
Dental trauma to permanent teeth
The document discusses treatment guidelines for dental trauma involving extrusion and intrusion of permanent teeth. For extrusion injuries, the exposed root surface is cleaned before gently repositioning the tooth using digital pressure. The tooth is then stabilized for 2 weeks with a flexible splint. For intrusion injuries, treatment depends on the stage of root development and degree of intrusion. Spontaneous eruption may be sufficient for minor intrusions, while orthodontic or surgical repositioning may be needed for more severe intrusions. Endodontic treatment is often recommended to prevent infection-related root resorption. Follow-up clinical and radiographic exams are important to monitor healing.
Management of traumatic lesions to primary dentition
This document discusses the management of traumatic injuries to primary teeth. It covers the etiology, epidemiology, classification systems, examination process, and various types of injuries including their treatment and potential sequelae. The types of injuries discussed include enamel fractures, crown fractures, root fractures, luxation injuries, alveolar fractures, and avulsion. Treatment depends on factors such as the child's age, tooth development, and severity of injury. The goal is often to preserve the primary tooth and its function until exfoliation when possible.
Dento Alveolar Fractures
Dento-alveolar fractures involve avulsion, subluxation or fracture of the teeth associated with a fracture of the alveolus. They are commonly caused by road traffic accidents or falls and more frequently affect the maxillary central incisors in children. Treatment depends on the complexity and location of the injury, with goals of preserving damaged teeth when possible through splinting or endodontic treatment. Management may include extraction, repositioning displaced teeth, and repair of soft tissue or alveolar bone injuries.
DENTAL TRAUMA
The document discusses various types of traumatic dental injuries including crown fractures, root fractures, luxation injuries, and avulsion. It provides details on diagnosing each type of injury and outlines treatment approaches. For many injury types, the goal is to maintain pulp vitality through treatments like pulpotomy or replantation after avulsion. Complications can include pulp necrosis, resorption, and ankylosis from long-term splinting. The document emphasizes the importance of rapid treatment and splinting to optimize outcomes and prevent tooth loss from traumatic injuries.
Management of traumatic dental injury of primary teeth
This document provides guidance on managing traumatic dental injuries in primary teeth. It discusses various types of injuries including enamel fractures, root fractures, luxations, and avulsions. For each injury type, it describes treatment objectives, options for treatment or observation, and follow-up recommendations. Conservative management is prioritized when possible to avoid harming the developing permanent dentition. While some injuries require extraction, others may be treated with pulpotomy, splinting, or simply monitoring for complications. Frequent follow-up is important to check for issues like infection, resorption, or eruption disturbances in the permanent teeth.
Dental Trauma
This document discusses dental trauma, including an overview, epidemiology, clinical presentation of dental injuries, defining types of dental injuries, management of dental injuries, outcomes of dental injuries, and prevention of dental injuries. It references several sources on this topic, including textbooks and medical journal articles.
traumatic injuries in children: trauma to teeth and soft
This document discusses traumatic injuries to children's teeth and soft tissues. It notes that trauma occurs frequently in children, with the highest incidence between ages 2-3. Common causes of trauma include falls, accidents, and sports. Examination of injured children should involve a thorough history, clinical examination of soft tissues and teeth, and radiographs to check for fractures or displaced teeth/bone. Proper documentation of findings is important for diagnosis and treatment planning.
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The document discusses treatment guidelines for dental trauma involving extrusion and intrusion of permanent teeth. For extrusion injuries, the exposed root surface is cleaned before gently repositioning the tooth using digital pressure. The tooth is then stabilized for 2 weeks with a flexible splint. For intrusion injuries, treatment depends on the stage of root development and degree of intrusion. Spontaneous eruption may be sufficient for minor intrusions, while orthodontic or surgical repositioning may be needed for more severe intrusions. Endodontic treatment is often recommended to prevent infection-related root resorption. Follow-up clinical and radiographic exams are important to monitor healing.
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This document discusses the management of traumatic injuries to primary teeth. It covers the etiology, epidemiology, classification systems, examination process, and various types of injuries including their treatment and potential sequelae. The types of injuries discussed include enamel fractures, crown fractures, root fractures, luxation injuries, alveolar fractures, and avulsion. Treatment depends on factors such as the child's age, tooth development, and severity of injury. The goal is often to preserve the primary tooth and its function until exfoliation when possible.
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The document discusses various types of traumatic dental injuries including crown fractures, root fractures, luxation injuries, and avulsion. It provides details on diagnosing each type of injury and outlines treatment approaches. For many injury types, the goal is to maintain pulp vitality through treatments like pulpotomy or replantation after avulsion. Complications can include pulp necrosis, resorption, and ankylosis from long-term splinting. The document emphasizes the importance of rapid treatment and splinting to optimize outcomes and prevent tooth loss from traumatic injuries.
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This document provides guidance on managing traumatic dental injuries in primary teeth. It discusses various types of injuries including enamel fractures, root fractures, luxations, and avulsions. For each injury type, it describes treatment objectives, options for treatment or observation, and follow-up recommendations. Conservative management is prioritized when possible to avoid harming the developing permanent dentition. While some injuries require extraction, others may be treated with pulpotomy, splinting, or simply monitoring for complications. Frequent follow-up is important to check for issues like infection, resorption, or eruption disturbances in the permanent teeth.
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This document discusses dental trauma, including an overview, epidemiology, clinical presentation of dental injuries, defining types of dental injuries, management of dental injuries, outcomes of dental injuries, and prevention of dental injuries. It references several sources on this topic, including textbooks and medical journal articles.
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Save your tooth
- 1. COMPLETE DISPLACEMENT OF TEETH FROM SOCKET CAUSES OF AVULSION CLEANING OF TOOTH BY HOLDING ONLY CROWN WITH WATER STORAGE OF TEETH UNDER SUITABLE MEDIA COMMONLY USED STORAGE MEDIA RUSH TO THE DENTIST WITHIN AN HOUR REPLANTATION OF TOOTH INTO THE SOCKET SPLINTING AFTER REPLANTATION FOR PROPER POSITIONING OF TOOTH SAVE YOUR TOOTH