trauma

Question 1

name the 7 types of dental trauma

Answer 1

concussion
subluxation

lateral subxulation
intrusion
extrusion

avulsion
fractures

Question 2

subluxation

- management

Answer 2

flexi splint for 2 weeks

advise use

• soft brush
• 0.2% CHX MW

Question 3

extrusion

• severity
• management

Answer 3

<3mm is mild

• reposition tooth
• flexi splint 2 weeks
• RCT if necrotic pulp

> 3mm is severe
- XLA

Question 4

lateral luxation

- management

Answer 4

• check for occlusal inteference
• reposition tooth
• flexi splint 4 weeks
• RCT if necrotic pulp

Question 5

which trauma types would require 4 weeks of flexi splint, instead of 2?

Answer 5

• lateral luxation
• intrusion (after ortho/surgical extrusion)
• root fracture
• alveolar fracture

Question 6

for avulsion, what is the risk of delayed replantation?

Answer 6

ankylosis

- if tooth is not replanted in 90 min

Question 7

what is the material used for the flexi splint?

Answer 7

stainless steel

Question 8

Tx differs in open and closed apex, how? (3)

Answer 8

open

• attempt Cvek pulpotomy for apexogenesis (complete root formation)
• if fail, apexification (MTA at open apex)

closed
- RCT required