Dental fracture: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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==Background== | ==Background== | ||
== | ==Clinical Features== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Dental Problems DDX}} | {{Template:Dental Problems DDX}} | ||
==Evaluation== | |||
==Management== | ==Management== | ||
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###Cover exposed pulp with calcium hydroxide base | ###Cover exposed pulp with calcium hydroxide base | ||
###Cover this and the remaining exposed dentin with dental cement | ###Cover this and the remaining exposed dentin with dental cement | ||
==Disposition== | |||
==See Also== | ==See Also== | ||
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==References== | ==References== | ||
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[[Category:ENT]] | [[Category:ENT]] | ||
Revision as of 00:13, 12 February 2017
Background
Clinical Features
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
Management
- Enamel (Ellis Class I)
- Routine follow up only; nothing to do
- Enamel + dentin (yellowish) (Ellis Class II)
- Patients 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 follow up
- 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
Disposition
See Also
Video
{{#widget:YouTube|id=GBCMn-xovHU}}