Dental Traumatology: Avulsed Teeth Management
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Questions and Answers

What is the maximum dry time allowed for a socket to be in saline?

< 60 mins

What is the acronym for the type of medication used in the socket?

LA

What kind of medication is LA (Local Anesthesia)?

vasoconstrictor

For what purpose is PA Rx from the repos used?

<p>To prevent infection</p> Signup and view all the answers

What does the abbreviation "NS" stand for?

<p>Normal Saline</p> Signup and view all the answers

What should be done to the necrotic tissue from the socket?

<p>Remove the necrotic tissue from the socket and soak it in NS</p> Signup and view all the answers

What kind of instrument is used to gently replace the tooth in the socket?

<p>digital pri</p> Signup and view all the answers

What type of splint is used after the tooth is replanted?

<p>flex splint</p> Signup and view all the answers

What type of procedure is done if the tooth has been out for a longer period and requires more stabilization?

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

What kind of medication is given orally and intravenously for 4 weeks following the procedure?

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

The abbreviation "FU" refers to what?

<p>Follow-up</p> Signup and view all the answers

How many weeks will the follow-up be at initially?

<p>2 w</p> Signup and view all the answers

How many weeks later will the follow-up be after the initial 2 weeks?

<p>4 w</p> Signup and view all the answers

What are the following durations for the follow-up appointments?

<p>3 m, 6 m, 1 y</p> Signup and view all the answers

How many years will the follow-up appointments continue?

<p>5 y</p> Signup and view all the answers

If the replant occurs after 91 days, what is the goal?

<p>Spontaneous reverse</p> Signup and view all the answers

If the apex formation is incomplete after the tooth is replanted, what kind of treatment is suggested?

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

If the tooth doesn't get replanted in time, what type of medication should be given?

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

Which of the following refers to the type of medication used for treating the patient?

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

What type of liquid solution is used in a more rural setting?

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

What is the other solution that's considered best for rural settings?

<p>Coconut H2O</p> Signup and view all the answers

Other than milk, what solution is used more commonly?

<p>PT's own saline</p> Signup and view all the answers

Study Notes

Avells (Exarticulation)

  • Dry time less than 60 minutes
  • Examine socket for necrosis
  • Irrigate and irrigate socket with saline
  • Radiograph (CBCT) for confirmation
  • Remove necrotic tissue from root surface, placed in normal saline
  • Irrigate the socket with normal saline
  • Replant the tooth, gently and digitally

Closed apex

  • Remove necrotic tissue from root surface, placed in normal saline
  • Gauze soak in normal saline
  • Irrigate socket with normal saline
  • Replant tooth, gently and digitally
  • Apply a passive and flexible splint
  • Start RCT in 2 weeks

Open apex

  • Remove necrotic tissue from root surface, placed in normal saline
  • Gauze soaked in normal saline
  • Irrigate socket with normal saline
  • Replant tooth, gently and digitally
  • Apply a passive splint for 2 weeks, antibiotics are recommended
  • Spontaneous reversal is the goal, if not occur apexectomy
  • 2 weeks, 4 weeks, 3 months, 6 months, and 1 year follow-up, then yearly for 5 years

Transport Media

  • HBSS
  • Patient's own saline (best in rural settings)
  • Milk
  • Coconut water
  • Propolis
  • Viaspan

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Description

This quiz focuses on the management of avulsed teeth, including procedures for closed and open apex situations. Test your knowledge on the best practices for replantation and follow-up care for avulsed teeth. Perfect for dental students and professionals looking to refresh their skills in trauma management.

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