-
concussion clinical symptoms
- firm but still in socket
- tender to percussion
-
subluxation clinical symptoms
- loos but still in socket
- tender to percussion
- bleeding around the gingival margin
-
management of concussion and subluxation
- soft diet for 2 weeks
- chlorhexidine gel 0.2% as dentrifice for 1wk
- follow-up
-
intrusive luxation management
- if crown is visible/minor alveolar damage -> leave tooth to re-erupt
- if whole tooth intruded/alveolar damage -> extract
-
extrusive luxation management
- if extrusion is <3mm of immature tooth - leave for spontaneous alignment
- review
- if severe extrusion - extract
-
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
-
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
-
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
-
complicated crown fracture tx options
- extraction
- restoration
- RA/LA or GA
-
uncomplicated crown fracture tx
- leave
- smooth any sharp edges
- composite strip crown
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