Trauma background
What teeth are most commonly affected by trauma?
Maxillary centrals
What does the 'F' in TEN4FACES stand for?
Frenum
A 3yo patient presents to the clinic with an avulsed central incisor. What is the recommended treatment for this patient?
No replantation
What is the most common injury to the permanent dentition?
Crown fracture
According to IADT 2020 guidelines, what is the primary goal when managing traumatic injuries to the primary dentition?
Prevent damage to the permanent tooth germ
What consumer product is most associated with dental injury in 7-11yr children?
Bicycle
What fracture the most common mandibular fracture in children?
Subcondylar fracture
What is the most recommended storage medium and why?
Milk
Cell viability and convenience
In complicated crown fractures of immature permanent teeth, the preferred initial management to preserve pulp vitality is:
Cvek pulpotomy
Which type of discoloration in a traumatized primary incisor indicates pulp canal obliteration?
Yellow discoloration
What sport has the highest rate of injury amongst 7-11year old boys?
Baseball
You suspect a foreign body in the labial mucosa of a patient. By how much should you decrease the exposure time of a radiograph?
25%
A 9-year-old girl avulsed her upper central incisor 20 minutes ago. The tooth was placed in tap water. The most likely complication is:
Ankylosis/replacement resorption
For a root fracture near the cervical area of a permanent tooth, the recommended splinting duration is:
Up to 4 months
What is the most appropriate management for a restorable but unstable crown-root fracture in a primary incisor?
What percentage of traumatic dental injuries result in concomitant soft tissue injury?
70%
What does the term 'battle sign' refer to?
Mastoid hematoma/mastoid ecchymosis
For an immature permanent tooth replanted after avulsion, the initial management of pulp is:
Monitor for revascularization
A permanent tooth with a closed apex is intruded by 4mm. What is the recommended management?
Reposition and splint for 4 weeks.
A patient comes in for recall. There tooth was previously discolored from a trauma. Today the discoloration has faded. What does it tell you about the pulp?
Viable
1.5-3yrs
Age of peak incidence of trauma in the primary dentition
23.2%
Individuals with SHCN have prevalence of 23.2%
A patient presents for emergency following trauma with following symptoms: muscle stiffness and spasms, lockjaw (trismus), difficulty swallowing, and generalized muscle rigidity. What the dx?
Tetanus
Name 4 injuries that have a recommended splinting duration of 4 weeks
Root fracture, intrusion, alveolar fracture, lateral luxation
>3years
Protective factor for hypoplasia