Difference between revisions of "Dental fracture"

(Management)
Line 5: Line 5:
  
 
==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

  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