Dental Trauma: Luxation Injuries Part 2
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Questions and Answers

What is the primary dental injury in which there is abnormal loosening but no displacement?

  • Intrusion
  • Extrusion
  • Concussion
  • Subluxation (correct)
  • Which of the following luxation injuries may cause a damage to the pulp?

  • Lateral Luxation (correct)
  • Concussion
  • Intrusion
  • Subluxation
  • What should be done inside the office for the treatment of a lateral luxation injury?

  • Baseline Sensibility tests
  • Adjust occlusion – splint only for patient comfort
  • Radiographs at 3 vertical angles (correct)
  • Reposition tooth if easy - otherwise refer to dental office ASAP
  • When should follow-up appointments be scheduled for a subluxation injury?

    <p>6-8 weeks</p> Signup and view all the answers

    What is the most common misdiagnosis for external root resorption?

    <p>Internal resorption</p> Signup and view all the answers

    Which type of root resorption involves fusion of alveolar bone with the root surface?

    <p>Replacement root resorption</p> Signup and view all the answers

    What should be the approach if the pulp is vital but some surface changes on the root are seen on a radiograph?

    <p>Wait and see attitude</p> Signup and view all the answers

    What is the cause of inflammatory root resorption in many cases?

    <p>Bacterial inflammation</p> Signup and view all the answers

    What is the recommended first aid for avulsed teeth at the place of accident?

    <p>Place in milk or saline</p> Signup and view all the answers

    What is the best prevention method for root resorption?

    <p>Patient education</p> Signup and view all the answers

    What should be placed into the root canal space within 7-14 days following replantation?

    <p>Calcium hydroxide (Ca(OH)2)</p> Signup and view all the answers

    What is the most significant feature of external root resorption?

    <p>&quot;Fusion of alveolar bone with root surface&quot;</p> Signup and view all the answers

    "Osteoclasts try to resorb the dentin like any other bone" is associated with which type of root resorption?

    <p>&quot;Replacement resorption&quot;</p> Signup and view all the answers

    "Injury to PDL and cementum" is characteristic of which type of root resorption?

    <p>&quot;External root resorption&quot;</p> Signup and view all the answers

    What is the consequence of heavily infected pulp over time?

    <p>Inflammatory root resorption</p> Signup and view all the answers

    What is the significance of the relationship between the contents of the root canal and inflammatory root resorption?

    <p>Direct relationship with content of root canal – bacteria.</p> Signup and view all the answers

    Which type of traumatic injury may require surgical or orthodontic intervention?

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

    What is the recommended storage medium for avulsed teeth to maintain tooth viability?

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

    What is the purpose of splinting in the clinical management of luxation injuries?

    <p>To reposition the displaced tooth</p> Signup and view all the answers

    What is the success rate for avulsed permanent teeth when the extraoral dry time is prolonged?

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

    How often should follow-up appointments be scheduled for luxation injuries?

    <p>Every 2 weeks</p> Signup and view all the answers

    What type of root resorption following tooth avulsion is inflammatory in nature and can be self-limiting or progressive?

    <p>External root resorption</p> Signup and view all the answers

    What is the effect of surgical reposition for intrusion injuries?

    <p>Quick and cost-effective</p> Signup and view all the answers

    Why is milk considered a good storage medium for avulsed teeth?

    <p>Physiological osmolarity and pH level</p> Signup and view all the answers

    Which type of traumatic injury can result in various problems including pulpal damage and survival rates?

    <p>Apical translocation</p> Signup and view all the answers

    Why is follow-up care essential for optimal healing after traumatic dental injuries?

    <p>To ensure proper oral hygiene practices</p> Signup and view all the answers

    What factor does the root preparation during an emergency visit depend on?

    <p>The degree of tooth maturity and age</p> Signup and view all the answers

    How does the success rate of avulsed permanent teeth change with prolonged extraoral dry time?

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

    Study Notes

    • Two possibilities in traumatic injuries: apical translocation with luxation injuries or intrusion injuries in permanent teeth.
    • Apical translocation: tooth displacement from its normal position, can cause various problems including pulpal damage and survival rates.
    • Luxation injuries: teeth are displaced from their socket, repositioning is crucial for good prognosis, splinting and root canal therapy are necessary.
    • Follow-up appointments for luxation injuries: 2 weeks, 4 weeks, 6-8 weeks, 6 months, and yearly for at least 5 years.
    • Intrusion injuries: teeth are forced into their socket, spontaneous re-eruption is rare, and surgical or orthodontic intervention is usually required.
    • Surgical reposition for intrusion injuries is quick and cost-effective but can cause additional damage.
    • Clinical management of avulsed egg-tooth (primary tooth): keep calm, find tooth, rinse with water, and seek emergency dental treatment.
    • Success rate for avulsed permanent teeth decreases with extraoral dry time.
    • Storage media for avulsed teeth: milk, saline, and vestibule of mouth can help maintain tooth viability.
    • Milk is a good storage medium due to its physiological osmolarity and pH level.
    • Emergency visit: root preparation depends on tooth maturity and age, and dry time.
    • Splinting time for different types of injuries varies from 2 weeks to 4 months.
    • Patient instructions: follow-up visits, home care, and avoiding contact sports are essential for optimal healing.
    • Root resorption following tooth avulsion is inflammatory in nature and can be self-limiting or progressive.
    • Radiographs with different angulations are crucial for diagnosing root resorption.

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    Related Documents

    Dr. Sigurdsson - Trauma 2 PDF

    Description

    Explore the forces and effects of luxation injuries on teeth during traumatic incidents with Asgeir Sigurdsson, an expert in dental traumatology. Learn about extrusion, concussion, subluxation, lateral luxation, and intrusion, and their impact on the periodontal ligament (PDL).

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