Dental problems: Difference between revisions
(Created page with "==Avulsion== Q1min = inc 1% failure rate (~100min --> no point in replanting) *missing tooth check jaw x-ray & ?CXR/stomach ==Fracture (Ellis)== I (enaml) --> do nothin...") |
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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 | |||
* 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 | dental referal only | ||
| Line 39: | Line 57: | ||
Periapical vs. Periodontal Abcess== | |||
| Line 48: | Line 66: | ||
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== | ===See Also:=== | ||
Acute Alveolar Osteitis (Dry Socket) | |||
Dental Numbers | |||
Revision as of 23:38, 1 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
- 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