Trauma Cases (Accidental Cases)

4 October 2, 2015
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TRAUMA CASES / ACCIDENTAL CASES 

 Dental trauma more often occurs due to accident or sports injury, in which majority of case consists of chipped off teeth and less often cases include knocked out tooth (avulsed tooth),and in some cases fracture of jaw also occurs . Treatment depends upon the type, location, severity and involvement of different types of tissues of each injury

Any dental injury however mild it is required dental examination immediately, sometimes neighbouring teeth ,soft tissues and hard tissues  suffers an additional unnoticed injury that will only be detected by a good dental exam ,

TYPE OF DENTAL INJURIES

1) Mobility: -

MOBILE TOOTH

                MOBILITY IN TOOTH

One of most common problem of trauma is mobility, sometimes mobility occurs in one tooth and sometime it is associated with more than one tooth

Treatment: - treatment may include splinting or extraction followed by replacement of tooth depending upon case

2)Chipped off tooth

broken tooth

  composite restoration for aesthetic buildup

depending up on from where it is chipped off

  • Only enamel involved :-when outermost layer of teeth i.e. enamel is broken, then it can be treated by crown buildup or capping
  • Enamel and dentine :- when enamel and dentine both get chipped off then treatment can be crown buildup , capping of crown depending up

On extent of injury

  • Enamel dentine result in pulp exposure :- once pulp is open then depending upon condition of pulp , it can be treated either by pulpotomy or by pulpectomy followed by crown

 3) Cracked Tooth:-

cracked tooth

                                  Cracked Tooth

depending upon extent of crack or fracture of tooth it can be treatable or non treatable

restoration can done  by rct, post and core or can be extracted followed by its replacement if its non treatable

 

 

 

 

4)Avulsed tooth(knocked out tooth):-

tooth out of socket

dislodged tooth , avulsed tooth

knocked out tooth can be placed again in the socked either by rct prior to placing or after placing the tooth

Points to remember if you got knocked out tooth ,you have to preserve it, so that damage to the soft tissue attached to it will be minimal. how to keep Avulsed tooth before reaching to the dentist

  1. Keep it below your tongue surrounded by saliva, but if you are severely injured then its not possible to keep it inside then
  2. Keep it in the milk or
  • Keep it in coconut water or
  1. Keep it in fresh water

 5) Injury Beyond Restoration:-

if injury is beyond repair or chance of infection is high then treatment is extraction, which can  be followed by implant, fpd or rpd , in these type of cases delayed in extraction can lead to spread of infection and may dammage bone and other tooth

6)Injury Involving Soft Tissue And Hard Tissue :-

accidental case

pt. hit by horse , management of extraoral and intraoral injuries before and after same day pic

soft tissues include muscles, ligament, and hard tissue include tooth & bone, these hard tissue fracture can be from simple to complex , from favorable to unfavorable

  • Alveolar fracture , can easly be identitify  when many teeth start moving together, most of time
  • Jaw fracture , can be further classified as maxilla fracture, mandibular fracture , the fracture may or may not involve alveolar bone

Treatment :- depending up on case , it can be treated by suture, if injury is only to the soft tissue .

if injury is related to the hard tissue then immobilization is necessary an can be done by inter-maxillary fixation (imf ) bone plated ,can be bone wired

 

Sometimes these types of injury also lead to swelling ,pain, and redness which can be treated according to symptoms

 

dentist in jaunpur | RCT | painless extraction of tooth

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