mx of trauma in primary dentition

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Author:
linnyc
ID:
72911
Filename:
mx of trauma in primary dentition
Updated:
2011-03-14 18:07:57
Tags:
primary dentition trauma management
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Description:
management of trauma in the primary dentition
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  1. concussion clinical symptoms
    • firm but still in socket
    • tender to percussion
  2. subluxation clinical symptoms
    • loos but still in socket
    • tender to percussion
    • bleeding around the gingival margin
  3. management of concussion and subluxation
    • soft diet for 2 weeks
    • chlorhexidine gel 0.2% as dentrifice for 1wk
    • follow-up
  4. intrusive luxation management
    • if crown is visible/minor alveolar damage -> leave tooth to re-erupt
    • if whole tooth intruded/alveolar damage -> extract
  5. extrusive luxation management
    • if extrusion is <3mm of immature tooth - leave for spontaneous alignment
    • review
    • if severe extrusion - extract
  6. Primary Teeth
    palatal lateral luxation management
    • no occlusal interference - allow tooth to reposition spontaneously
    • with occlusal interference - extract
    • in severe displacement - extract
    • soft diet for 2 weeks
    • good oral hygiene
    • chlorhexidine gel 0.2% as dentrifice 2x/day for 1 wk
    • inform parents of possible sequelae and importance of follow up
  7. Primary Teeth
    Avulsion management
    • make sure tooth is avulsed and not 100% intruded - take radiograph
    • do not replant
    • soft diet for 2 weeks
    • chlorhexidine gel 0.2% as a dentirifice 2x/day for 1 wk
    • inform parents of possible sequelae and importance of follow-up
    • follow-up 1wk, 4wks, 8wks, 6mo, annunally until successor erupts
  8. key points for managing trauma in primary dentition
    • pain relief
    • behavioural management
    • parental reassurance
    • treatment to minimise further damage to permanent successor
    • imporance of home care
    • discussion of potential sequelae
    • clinical and radiographic follow-up
  9. complicated crown fracture tx options
    • extraction
    • restoration
    • RA/LA or GA
  10. uncomplicated crown fracture tx
    • leave
    • smooth any sharp edges
    • composite strip crown

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