Difference between revisions of "Dental fracture"

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==Background==
 
==Background==
  
==DDX==
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==Differential Diagnosis==
*[[Dental Problems]]
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{{Template:Dental Problems DDX}}
  
 
==Management==
 
==Management==

Revision as of 05:21, 29 March 2014

Background

Differential Diagnosis

Dentoalveolar Injuries

Odontogenic Infections

Other

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