Difference between revisions of "Dental fracture"

(Created page with " ==See Also== *Dental Problems Category:ENT == Source == *ER Atlas *Tintinalli *UpToDate")
 
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==Background==
  
 
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==Management==
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#Enamel (Ellis Class I)
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##Routine f/u only; nothing to do
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#Enamel + dentin (yellowish) (Ellis Class II)
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##Pts experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
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##Cover exposed dentin to decrease pulpal contamination
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###Place dental cement over fracture site
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###Next day f/u
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#Enamel + dentin + pulp (reddish) (Ellis Class III)
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##On wiping fractured surface with gauze, blood is easily seen
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##Immediate referral (dental emergency)
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##If no dentist is available:
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###Cover exposed pulp with calcium hydroxide base
 +
###Cover this and the remaining exposed dentin with dental cement
  
 
==See Also==
 
==See Also==

Revision as of 09:03, 27 June 2012

Background

Management

  1. Enamel (Ellis Class I)
    1. Routine f/u only; nothing to do
  2. Enamel + dentin (yellowish) (Ellis Class II)
    1. Pts experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
    2. Cover exposed dentin to decrease pulpal contamination
      1. Place dental cement over fracture site
      2. Next day f/u
  3. Enamel + dentin + pulp (reddish) (Ellis Class III)
    1. On wiping fractured surface with gauze, blood is easily seen
    2. Immediate referral (dental emergency)
    3. If no dentist is available:
      1. Cover exposed pulp with calcium hydroxide base
      2. Cover this and the remaining exposed dentin with dental cement

See Also

Source

  • ER Atlas
  • Tintinalli
  • UpToDate