Dental Trauma Class 8/27/2018
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Questions and Answers

What type of luxation is indicated by the symptom of unresponsive tooth to vitality testing?

  • Subluxation
  • Lateral luxation (correct)
  • Extrusive luxation
  • Concussion
  • Which type of luxation reveals displacement on a steep occlusal radiograph?

  • Concussion
  • Subluxation
  • Extrusive luxation
  • Lateral luxation (correct)
  • Which type of luxation is associated with the symptom of high metallic sound produced during percussion testing?

  • Concussion
  • Lateral luxation (correct)
  • Subluxation
  • Extrusive luxation
  • Which type of luxation gives a better indication of the amount of axial displacement with bisecting angle in radiography?

    <p>Extrusive luxation</p> Signup and view all the answers

    What is the treatment of choice for teeth with incomplete root formation after intrusive injury?

    <p>Spontaneous re-eruption</p> Signup and view all the answers

    What should be done if clinical and radiograph show no signs of eruption after 1 month following spontaneous re-eruption?

    <p>Move the tooth orthodontically</p> Signup and view all the answers

    Which type of luxation may be treated with orthodontic extrusion?

    <p>Intrusive luxation</p> Signup and view all the answers

    What is the first choice antibiotic for younger patients after avulsion?

    <p>Tetracycline</p> Signup and view all the answers

    What is the prophylactic measure against root resorption for teeth with closed apices after avulsion?

    <p>Endodontic extirpation</p> Signup and view all the answers

    What should be done if a tooth has contacted soil after avulsion?

    <p>Tetanus Prophylaxis</p> Signup and view all the answers

    What is the treatment of choice for intrusive luxation with completed root development and a high risk of pulp necrosis?

    <p>Orthodontic extrusion</p> Signup and view all the answers

    What is the main goal of monitoring an intrusive injury for signs of pulp necrosis?

    <p>$RCT$ if pulp necrosis detected</p> Signup and view all the answers

    What should be done if there are no signs of eruption after 1 month following spontaneous eruption?

    <p>$Orthodontic movement$</p> Signup and view all the answers

    Which type of luxation may be treated with surgical repositioning?

    <p>Lateral luxation with root fracture Initial injury</p> Signup and view all the answers

    What is the suitable treatment for intrusion in teeth with incomplete root formation?

    <p>Spontaneous eruption followed by monitoring and intervention as needed</p> Signup and view all the answers

    What is the alternative antibiotic to tetracycline for younger patients after avulsion?

    <p>Pen VK</p> Signup and view all the answers

    What radiographic technique gives a better indication of the amount of axial displacement in extrusive luxation?

    <p>Bisecting angle radiograph</p> Signup and view all the answers

    Which type of luxation is associated with the symptom of unresponsive tooth to vitality testing?

    <p>Intrusive luxation</p> Signup and view all the answers

    What symptom is associated with lateral luxation during percussion testing?

    <p>High metallic sound</p> Signup and view all the answers

    Which type of luxation may be treated with orthodontic extrusion?

    <p>Intrusive luxation</p> Signup and view all the answers

    Which type of luxation may require repositioning with anesthesia?

    <p>Lateral luxation</p> Signup and view all the answers

    What is the treatment of choice for spontaneous eruption of intrusive injury for teeth with incomplete root formation?

    <p>Spontaneous re-eruption</p> Signup and view all the answers

    What is the suitable treatment for intrusion in teeth with incomplete root formation?

    <p>Orthodontic extrusion</p> Signup and view all the answers

    What should be done if there are no signs of eruption after 1 month following spontaneous eruption?

    <p>Orthodontic movement</p> Signup and view all the answers

    What is the prophylactic measure against root resorption for teeth with closed apices after avulsion?

    <p>Pulp extirpation with CaOH placement</p> Signup and view all the answers

    Which type of luxation is treated with splinting for 4 weeks?

    <p>Lateral luxation</p> Signup and view all the answers

    What type of luxation may reveal displacement on a steep occlusal radiograph?

    <p>Intrusive luxation</p> Signup and view all the answers

    What is the first choice antibiotic for younger patients after avulsion?

    <p>Tetracycline</p> Signup and view all the answers

    What is the alternative antibiotic to tetracycline for younger patients after avulsion?

    <p>(Pen VK) Penicillin V Potassium</p> Signup and view all the answers

    What type of luxation is indicated by the symptom of unresponsive tooth to vitality testing?

    <p>Avulsion</p> Signup and view all the answers

    What is the treatment of choice for intrusive luxation with completed root development and a high risk of pulp necrosis?

    <p>Orthodontic extrusion</p> Signup and view all the answers

    What type of luxation may be treated with surgical repositioning?

    <p>Intrusion</p> Signup and view all the answers

    Study Notes

    Luxation Symptoms and Diagnosis

    • Unresponsive tooth to vitality testing indicates pulp necrosis luxation.
    • High metallic sound produced during percussion testing indicates lateral luxation.
    • Displacement on a steep occlusal radiograph reveals lateral luxation.

    Treatment of Luxation Injuries

    • Teeth with incomplete root formation after intrusive injury should be treated with spontaneous eruption.
    • If there are no signs of eruption after 1 month following spontaneous eruption, orthodontic or surgical repositioning may be necessary.
    • Intrusive luxation with completed root development and a high risk of pulp necrosis should be treated with surgical repositioning.
    • Lateral luxation may be treated with orthodontic extrusion.
    • Teeth with closed apices after avulsion require tetracycline or alternative antibiotic as a prophylactic measure against root resorption.
    • If a tooth has contacted soil after avulsion, it should be rinsed with saline solution or sterile water.

    Radiographic Techniques

    • Bisecting angle radiography gives a better indication of the amount of axial displacement in extrusive luxation.
    • Steep occlusal radiograph reveals displacement in lateral luxation.

    Antibiotic Therapy

    • Tetracycline is the first choice antibiotic for younger patients after avulsion.
    • Alternative antibiotic to tetracycline for younger patients after avulsion is doxycycline.

    Monitoring and Follow-up

    • The main goal of monitoring an intrusive injury is to watch for signs of pulp necrosis.
    • If there are no signs of eruption after 1 month following spontaneous eruption, alternative treatment options should be considered.

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    Description

    This quiz covers topics related to dental trauma, including concussion, subluxation, extrusive luxation, and lateral luxation. It may also include radiographic angulation for some conditions.

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