Dental fracture: Difference between revisions
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==Management== | ==Management== | ||
#Enamel (Ellis Class I) | #Enamel ('''Ellis Class I''') | ||
##Routine f/u only; nothing to do | ##Routine f/u only; nothing to do | ||
#Enamel + dentin (yellowish) (Ellis Class II) | #Enamel + dentin (yellowish) ('''Ellis Class II''') | ||
##Pts experience sensitivity to hot/cold stimuli and air passing over tooth during breathing | ##Pts experience sensitivity to hot/cold stimuli and air passing over tooth during breathing | ||
##Cover exposed dentin to decrease pulpal contamination | ##Cover exposed dentin to decrease pulpal contamination | ||
###Place dental cement over fracture site | ###Place dental cement over fracture site | ||
###Next day f/u | ###Next day f/u | ||
#Enamel + dentin + pulp (reddish) (Ellis Class III) | #Enamel + dentin + pulp (reddish) ('''Ellis Class III''') | ||
##On wiping fractured surface with gauze, blood is easily seen | ##On wiping fractured surface with gauze, blood is easily seen | ||
##Immediate referral (dental emergency) | ##Immediate referral (dental emergency) | ||
Revision as of 10:54, 27 June 2012
Background
DDX
Management
- Enamel (Ellis Class I)
- Routine f/u only; nothing to do
- Enamel + dentin (yellowish) (Ellis Class II)
- Pts experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
- Cover exposed dentin to decrease pulpal contamination
- Place dental cement over fracture site
- Next day f/u
- Enamel + dentin + pulp (reddish) (Ellis Class III)
- On wiping fractured surface with gauze, blood is easily seen
- Immediate referral (dental emergency)
- If no dentist is available:
- Cover exposed pulp with calcium hydroxide base
- Cover this and the remaining exposed dentin with dental cement
See Also
Source
- ER Atlas
- Tintinalli
- UpToDate