Dental Trauma Management

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Questions and Answers

What is the primary objective of a semirigid splint in tooth replantation?

To allow for physiologic movement of the tooth during healing (correct)
To facilitate traumatic occlusion
To impinge on the gingiva
To prevent ankylosis

Why is a systemic antibiotic prescribed during the emergency visit?

To reduce the effectiveness of collagenase
To promote periodontal ligament regeneration
To facilitate endodontic treatment
To prevent bacterial invasion of the necrotic pulp (correct)

What is the recommended duration of semirigid splinting for avulsion and alveolar fractures?

2 to 4 weeks
1 week
4 to 8 weeks (correct)
1 to 2 weeks

What is the purpose of suturing soft tissue lacerations of the socket gingiva?

To clean the wound thoroughly (C) Signup and view all the answers

Why is tetracycline prescribed as an adjunctive therapy?

To decrease root resorption (A) Signup and view all the answers

What is the recommended method of tooth replantation?

Using manual pressure (A) Signup and view all the answers

What is the primary goal of avulsion management?

To minimize periodontal ligament damage (B) Signup and view all the answers

What is the recommended treatment for an immature tooth with lateral luxation injury?

Follow-up for signs of revascularization (A) Signup and view all the answers

What is the purpose of radiograph verification after tooth replantation?

To verify the position of the tooth and as a reference for follow-up (C) Signup and view all the answers

What is the primary consequence of pulp damage due to laxative injuries?

Pulp canal obliteration (A) Signup and view all the answers

Why is it important to adjust the bite after tooth replantation?

To prevent traumatic occlusion (C) Signup and view all the answers

What is the recommended storage medium for an avulsed tooth?

Hank's Balanced Salt Solution (D) Signup and view all the answers

What is the primary goal of emergency management at the accident site for an avulsed tooth?

To replace the tooth in the socket or partly into the socket (B) Signup and view all the answers

What is the recommended treatment for a mature tooth with intrusion injury?

Root canal treatment 2-3 weeks after repositioning (B) Signup and view all the answers

What is the primary factor affecting treatment planning for avulsed teeth?

Extraoral time (B) Signup and view all the answers

What is the goal of adjunctive therapy in avulsion management?

To reduce inflammation and promote regeneration (C) Signup and view all the answers

What is the optimal extraoral dry time for tooth replantation, resulting in periodontal healing?

15-20 minutes (B) Signup and view all the answers

What is the primary goal of gentle saline rinsing during socket preparation?

Removing debris and reducing inflammation (A) Signup and view all the answers

What is the recommended treatment for an open apex with an extraoral dry time of less than 60 minutes?

Soaking in doxycycline for 5 minutes (D) Signup and view all the answers

What is the primary objective of managing traumatic injuries to teeth?

To prevent pulpal necrosis (B) Signup and view all the answers

What is the purpose of removing the periodontal ligament in tooth replantation?

To prevent inflammatory response and promote healing (D) Signup and view all the answers

What is the benefit of using enamel matrix protein (Emdogain) in tooth replantation?

It makes the root more resistant to resorption (C) Signup and view all the answers

Which of the following is a critical factor in determining the treatment plan for traumatic injuries?

All of the above (D) Signup and view all the answers

What is the recommended treatment for a closed apex with an extraoral dry time of more than 60 minutes?

Removing the periodontal ligament and soaking in fluoride (C) Signup and view all the answers

What is a key goal of endodontic treatment in managing traumatic injuries?

To prevent infection (B) Signup and view all the answers

Which of the following is a recommended reading material for understanding traumatic injuries?

All of the above (D) Signup and view all the answers

What is the primary goal of repositioning the collapsed alveolar bone in socket preparation?

To create space for the replanted tooth (D) Signup and view all the answers

What is the primary goal of gentle suctioning of the blood clot in socket preparation?

To remove debris and reduce inflammation (A) Signup and view all the answers

What is the primary focus of soft tissue management in traumatic injuries?

To manage swelling and edema (D) Signup and view all the answers

Which of the following is a key concept in managing traumatised immature teeth?

Apex closure (C) Signup and view all the answers

What is the primary goal of tooth replantation in traumatic injuries?

To preserve the natural tooth (A) Signup and view all the answers

Which of the following is a critical aspect of avulsion management?

Timing of treatment initiation (B) Signup and view all the answers

What is the primary goal of the second visit in avulsion management?

Focus on the prevention of bone and root resorption (B) Signup and view all the answers

What is the recommended treatment for an open apex with an extraoral dry time of less than 60 minutes?

Root canal treatment with an intracanal medicament (A) Signup and view all the answers

What is the characteristic of ankylosis in avulsion sequelae?

Replacement of cementum and dentin by bone (D) Signup and view all the answers

What is the primary diagnostic challenge in cracks and fractures?

Symptoms may be present for several months before an accurate diagnosis (B) Signup and view all the answers

What is the purpose of using dyes, such as methylene blue, in the diagnosis of cracks and fractures?

To aid in the detection of cracks and fractures (D) Signup and view all the answers

What is the characteristic of a tooth with inflammatory resorption?

Radiographic appearance of a bowl shape resorptive area (A) Signup and view all the answers

What is the purpose of transillumination in the diagnosis of cracks and fractures?

To aid in the detection of cracks and fractures (C) Signup and view all the answers

What is the primary goal of RCT with an intracanal medicament in avulsion management?

To shut down the inflammatory response (A) Signup and view all the answers

Flashcards

Semirigid splint objective

Allows slight movement for healing.

Systemic antibiotic purpose

To prevent bacteria from infecting the dead pulp.