Difference between revisions of "Dental fracture"

m (Rossdonaldson1 moved page Tooth Fracture to Tooth fracture)
(Background)
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==Background==
 
==Background==
 +
 +
==Diagnosis==
 +
==Management==
 +
*Enamel ('''Ellis Class I''')
 +
*Enamel + dentin (yellowish) ('''Ellis Class II''')
 +
*Enamel + dentin + pulp (reddish) ('''Ellis Class III''')
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==

Revision as of 15:44, 9 February 2015

Background

Diagnosis

Management

  • Enamel (Ellis Class I)
  • Enamel + dentin (yellowish) (Ellis Class II)
  • Enamel + dentin + pulp (reddish) (Ellis Class III)

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