Difference between revisions of "Dental fracture"

(Text replacement - "Pts " to "Patients ")
(Management)
Line 12: Line 12:
 
==Management==
 
==Management==
 
#Enamel ('''Ellis Class I''')
 
#Enamel ('''Ellis Class I''')
##Routine f/u only; nothing to do
+
##Routine follow up only; nothing to do
 
#Enamel + dentin (yellowish) ('''Ellis Class II''')
 
#Enamel + dentin (yellowish) ('''Ellis Class II''')
 
##Patients experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
 
##Patients 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 follow up
 
#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

Revision as of 23:24, 13 July 2016

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 follow up only; nothing to do
  2. Enamel + dentin (yellowish) (Ellis Class II)
    1. Patients 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 follow up
  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

Video

References

  • ER Atlas