# Root
● Can’t splint (lack of cooperation, small tooth size) - leave alone if no displacement
● Infection/displacement → XLA coronal fragment, let apical fragment resorb
Follow Up
● 1m, 2m, 1yr - annually until exfoliation
Complications
● Necrosis: sinus, PA RL, root resorption, may be black
- ⅓ displaced incisors will necrose
- No symptoms → monitor
● Pulp obliteration: yellow crown
● Ankylosis: stays/sinks when growing
Splints
● Require: good OH, good access (tests/RCT), away from GM, easily placed/removed
● Suck-down: good for lots of teeth/mixed dentition/missing teeth. Bad for OH
Permanent Dentition
H&E
● Head injury: assess for altered mental state, vomiting, LOC, clear fluid from
nose, bleeding from ear → A&E
● Analgesics: type, timings & dose to check for potential accidental overdose →
contact A&E for advice
● Facial fractures: swelling, visual changes (double vision, restricted eye movement, pain
on upward gaze), mandibular malocclusion or step deformity
● ST wounds: FB presence (take STRG). If not actively bleeding, stabilise dental injury
first
● Disturbed bite = luxation, # alveolar process/jaw/TMJ
● Reaction to temp change = exposed dentine
● Mobility: indiv teeth (severed vascular supply)/groups of teeth (# alveolar process)
● Percussion: TTP (PDL damage), high & metallic = locked in bone (LL, intrusion)
● Sensibility: inconsistent due to incomplete roots/post-trauma
Wound Healing
● Cells move into trauma area (MP, endothelial, FB)
● Vascular loops formed in stroma (collagen, FB)
● Speed in PDL/pulp = 0.5mm/day
Separation
● Ltd cellular damage, req cleavage of collagen & IC substance, faster
● In PDL: new collagen unites PDL fibres (1w), principal fibres healing (2w)
● In pulp: if severed vascular supply, ingrowth starts after 4d
Crushing
● Extensive cellular & IC damage → MP/oclasts remove damaged tissue →
repair
● CMB & Ep. rests of Malassez lost (protective) → MP/oclasts remove
PDL/cementum → root resorption
# Crown
● #E: grind/restore w composite
● #ED: restore to seal DT w composite/veneer/fragment
Los beneficios de comprar resúmenes en Stuvia estan en línea:
Garantiza la calidad de los comentarios
Compradores de Stuvia evaluaron más de 700.000 resúmenes. Así estas seguro que compras los mejores documentos!
Compra fácil y rápido
Puedes pagar rápidamente y en una vez con iDeal, tarjeta de crédito o con tu crédito de Stuvia. Sin tener que hacerte miembro.
Enfócate en lo más importante
Tus compañeros escriben los resúmenes. Por eso tienes la seguridad que tienes un resumen actual y confiable.
Así llegas a la conclusión rapidamente!
Preguntas frecuentes
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
100% de satisfacción garantizada: ¿Cómo funciona?
Nuestra garantía de satisfacción le asegura que siempre encontrará un documento de estudio a tu medida. Tu rellenas un formulario y nuestro equipo de atención al cliente se encarga del resto.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cassiejoevans. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for $6.18. You're not tied to anything after your purchase.