Trauma: Section A

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Questions and Answers

Define dentoalveolar trauma and briefly outline the anatomical structures that are affected by this type of injury.

Dentoalveolar trauma refers to injuries affecting the teeth and their supporting structures. The anatomical structures involved include the teeth themselves, the alveolar bone of the maxilla and mandible, and the adjacent soft tissues such as gingiva and mucosa.

Explain why periodontal injuries are described as the most common type of dentoalveolar injury in primary dentition, relating your answer to a specific characteristic of children mentioned in the text.

Periodontal injuries are most common in primary dentition because children have softer bone. This softer bone and less developed roots in primary teeth mean that when trauma occurs, the teeth are more likely to move within the socket, leading to periodontal injuries rather than fractures of the harder dental tissues.

Contrast the most common type of dentoalveolar injury seen in permanent dentition with that in primary dentition, and state one factor that is more frequently observed in permanent teeth injuries.

In permanent dentition, hard tissue injuries, such as enamel or dentin fractures, are the most common, unlike primary dentition where periodontal injuries are more frequent. Tooth fracture is also more likely to be observed in permanent dentition injuries compared to primary teeth.

What are complex dentoalveolar injuries? Explain why they are described as less common in primary dentition in comparison to permanent dentition.

<p>Complex dentoalveolar injuries involve a combination of both hard tissue injuries (like fractures of enamel, dentin, or cementum) and periodontal tissue injuries (affecting the supporting structures of the teeth). They are less common in primary dentition likely because the softer bone and more mobile teeth in children often result in injuries being dissipated through periodontal structures rather than causing combined hard and soft tissue damage.</p> Signup and view all the answers

Based on the provided aetiology of dentoalveolar trauma, identify two distinct categories of traumatic events that could lead to these injuries and give a specific example for each category.

<p>Two distinct categories of traumatic events are accidents and interpersonal violence. Accidents include events like falls, sports injuries, bicycle accidents, and road traffic accidents. Interpersonal violence is represented by 'Non accidental injury', suggesting intentional trauma.</p> Signup and view all the answers

Flashcards

Dentoalveolar Trauma

Injuries to teeth, alveolar portion of maxilla and mandible, and adjacent soft tissues.

Epidemiology of Dental Trauma in Children

Most common in primary dentition, involves periodontal injuries. Children's softer bones make teeth movement more likely during falls. 1 in 4 children will experience tooth trauma.

Dental Trauma in Adults

Most common in permanent dentition. Often involves hard tissue injuries and tooth fracture.

Complex Dental Injuries

Combination of hard and periodontal tissue injuries, less common in primary dentition.

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Aetiology of Dentoalveolar Trauma

Falls, non-accidental injury, sports, bicycle accidents, road traffic accidents, foreign bodies striking teeth, prolonged use of CaOH, post root canal treatment.

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Study Notes

  • Dentoalveolar trauma involves injuries to the teeth, alveolar portion of the maxilla and mandible, and adjacent soft tissues.

Epidemiology

  • Periodontal injuries are the most common in primary dentition.
  • Children have softer bones causing their teeth to move more when they fall.
  • 1 in 4 children will traumatise their teeth.
  • Hard tissue injuries are the most common in permanent dentition.
  • Tooth fracture is more likely to occur.
  • Complex injuries are a combination of hard and periodontal tissue injuries.
  • Complex injuries are less common in primary dentition.

Aetiology

  • Falls
  • Non-accidental injury
  • Sports
  • Bicycle accidents
  • Road traffic accidents
  • Foreign bodies striking teeth
  • Prolonged use of CaOH in root canals of immature teeth
  • Post root canal treatment

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