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== | ||
− | + | ==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== | ==See Also== |
Revision as of 09:03, 27 June 2012
Contents
Background
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