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Dental Trauma


Presentation

  • Consequently the aim of the present study was to measure the total time of treatment of uncomplicated and complicated traumas to primary and permanent teeth.[diva-portal.org]
  • However, this can be one of the clinical presentation of an alveolar fracture. Gingivae bleeding especially around the margins may suggest injury to the periodontal ligament of the tooth.[en.wikipedia.org]
Inflammation
  • Radiographic signs of periapical inflammation is usually evident in a tooth with necrotic pulp Root resorption [ edit ] Root resorption following traumatic dental injuries, whether located along the root surface or within the root canal appears to be[en.wikipedia.org]
  • In addition, it has been shown that placing calcium hydroxide as an intracanal medicament immediately after reimplantation will promote inflammation that can lead to PDL damage. 30 If the tooth had been kept dry longer than 60 minutes, performing root[decisionsindentistry.com]
Swelling
  • Signs of pulpal necrosis include [36] Persistent grey colour to tooth that does not fade Radiographic signs of periapical inflammation Clinical signs of infection: tenderness, sinus, suppuration, swelling Treatment options will be extraction for the primary[en.wikipedia.org]
  • Clinicians are advised to look for at least one other sign of pulpal necrosis, such as vestibule swelling, periapical lesions and/or dramatic color change of the crown.[decisionsindentistry.com]
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Asymptomatic
  • No treatment is needed if it is asymptomatic. Treatment options will be extraction for symptomatic primary tooth.[en.wikipedia.org]
Fishing
  • In this case, 16-pound-test fishing line was used as the splint for the luxated tooth. Splinting of a luxated tooth is only recommended for teeth that are still mobile after repositioning.[decisionsindentistry.com]
Respiratory Distress
  • distress Self-moulded/ Boil and bite Limited range of sizes, which may result in poor fitting Can be easily remoulded if distorted Cheap Custom-made Made with ethylene vinyl acetate The most ideal type of gum shield [29] Good retention Able to build[en.wikipedia.org]
Nausea
  • Nausea/vomiting, fluids from the ear/nose, situational confusion, blurred vision or uneven pupils, and difficulty of speech and/or slurred speech may also indicate serious injury. 5 Once the patient has been cleared of any CNS issues, the dental trauma[decisionsindentistry.com]
Vomiting
  • Nausea/vomiting, fluids from the ear/nose, situational confusion, blurred vision or uneven pupils, and difficulty of speech and/or slurred speech may also indicate serious injury. 5 Once the patient has been cleared of any CNS issues, the dental trauma[decisionsindentistry.com]
Blurred Vision
  • Nausea/vomiting, fluids from the ear/nose, situational confusion, blurred vision or uneven pupils, and difficulty of speech and/or slurred speech may also indicate serious injury. 5 Once the patient has been cleared of any CNS issues, the dental trauma[decisionsindentistry.com]
Confusion
  • Nausea/vomiting, fluids from the ear/nose, situational confusion, blurred vision or uneven pupils, and difficulty of speech and/or slurred speech may also indicate serious injury. 5 Once the patient has been cleared of any CNS issues, the dental trauma[decisionsindentistry.com]
Slurred Speech
  • Nausea/vomiting, fluids from the ear/nose, situational confusion, blurred vision or uneven pupils, and difficulty of speech and/or slurred speech may also indicate serious injury. 5 Once the patient has been cleared of any CNS issues, the dental trauma[decisionsindentistry.com]
Intracranial Hemorrhage
  • It has been estimated by a meta-analysis that the prevalence of intracranial hemorrhage after a mild head injury is 8%, and the onset of symptoms can be delayed for minutes to hours. 4 The most common signs of serious cerebral concussion or hemorrhage[decisionsindentistry.com]

Treatment

  • Besides treatment time, efforts from the family are substantial in time and costs.[diva-portal.org]
  • Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol. 2004;20:203–211. Huang GT.[decisionsindentistry.com]

Prognosis

  • The patient and parents/guardians should be advised the long-term prognosis of an intruded tooth is unpredictable, as it is likely to eventually be lost due to ankylosis. 19–21 FIGURE 5.[decisionsindentistry.com]
  • Dental trauma often lead to the main complication such as pulpal necrosis, and it's nearly impossible to predict the long-term prognosis of the injured tooth and often results in long term restorative problems. [45] [46] [47] See also [ edit ] Dental[en.wikipedia.org]

Etiology

  • "Traumatic dental injuries: etiology, prevalence and possible outcomes". Stomatologija. 16 (1): 7–14. PMID 24824054. Kania MJ, Keeling SD, McGorray SP, Wheeler TT, King GJ (1996).[en.wikipedia.org]

Epidemiology

  • "Epidemiology of traumatic dental injuries". Journal of Endodontics. 39 (3 Suppl): S2–5. doi : 10.1016/j.joen.2012.11.021. PMID 23439040. Glendor U (December 2008). "Epidemiology of traumatic dental injuries--a 12 year review of the literature".[en.wikipedia.org]
  • Direct and indirect costs of dental trauma in Sweden: a 2-year prospective study of children and adolescents Open this publication in new window or tab 2001 (English) In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, Vol. 29, no 2, p. 150[diva-portal.org]
Sex distribution
Age distribution

Prevention

  • [ edit ] Prevention in general is relatively difficult as it's nearly impossible to stop accidents from happening, especially in children who are quite active.[en.wikipedia.org]
  • Read Summary - More: Guidance Mouthguard use in sport: position statement 01 April 2016 - Publisher: Faculty of Sport and Exercise Medicine (FSEM) Dental trauma sustained as a result of sports participation can be prevented and minimised by wearing a[evidence.nhs.uk]
  • Prevent dental injuries - mouth guard Best not to suffer tooth injury at all - there are preventive measures.[medizin.uni-tuebingen.de]
  • In such cases, an endodontist’s expertise plays an important role because diagnosing, preventing and treating pulpal complications are integral components of endodontic training, as are pulp regeneration and treating inflammatory root resorption (Figures[decisionsindentistry.com]

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