Difference between revisions of "Dental fracture"
| Line 3: | Line 3: | ||
==Clinical Features== | ==Clinical Features== | ||
| − | + | *Localized tooth fracture | |
| + | *History of oral trauma | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 9: | Line 10: | ||
==Evaluation== | ==Evaluation== | ||
| − | + | *Clinical diagnosis | |
| + | *Consider obtaining panorex to evaluate for associated bone fracture | ||
==Management== | ==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 with calcium hydroxide to decrease pulpal contamination | |
| − | + | **Next day follow up | |
| − | + | *Enamel + dentin + pulp (reddish) ('''Ellis Class III''') | |
| − | + | **On wiping fractured surface with gauze, blood is easily seen | |
| − | + | **Immediate dental referral (dental emergency) - should be seen within 24 hours | |
| − | + | **If not able to be seen immediately, cover exposed pulp with calcium hydroxide | |
| − | |||
| − | |||
| − | |||
==Disposition== | ==Disposition== | ||
| − | + | *Discharge with dental follow-up | |
==See Also== | ==See Also== | ||
| − | *[[Dental | + | *[[Dental problems]] |
==Video== | ==Video== | ||
Revision as of 00:41, 12 February 2017
Contents
Background
Clinical Features
- Localized tooth fracture
- History of oral trauma
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental caries (pulpitis)
- Ludwig's angina
- Periapical abscess
- Pericoronitis
- Periodontal abscess
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
- Clinical diagnosis
- Consider obtaining panorex to evaluate for associated bone fracture
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 with calcium hydroxide to decrease pulpal contamination
- Next day follow up
- Enamel + dentin + pulp (reddish) (Ellis Class III)
- On wiping fractured surface with gauze, blood is easily seen
- Immediate dental referral (dental emergency) - should be seen within 24 hours
- If not able to be seen immediately, cover exposed pulp with calcium hydroxide
Disposition
- Discharge with dental follow-up
See Also
Video