Dental fracture - Revision history

Rossdonaldson1: /* Video */

2024-04-17T19:46:14Z

Video

← Older revision		Revision as of 19:46, 17 April 2024
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	==External Links==		==External Links==
	*[https://coreem.net/core/dental-trauma/ Core EM Dental Trauma Page]		*[https://coreem.net/core/dental-trauma/ Core EM Dental Trauma Page]

	~~==Video==~~
	~~{{#widget:YouTube\|id=GBCMn-xovHU}}~~

	==References==		==References==

Rossdonaldson1 at 21:00, 2 December 2021

2021-12-02T21:00:19Z

← Older revision		Revision as of 21:00, 2 December 2021
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	==Background==		==Background==
	~~[[File:Enamel.png\|thumb\|Diagram of the tooth displaying the enamel, dentin, and pulp]]~~
	{{Dental numbers}}		{{Dental numbers}}

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	==Differential Diagnosis==		==Differential Diagnosis==
	{{~~Template:~~Dental Problems DDX}}		{{Dental Problems DDX}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Background */

2021-12-02T20:55:55Z

Background

← Older revision		Revision as of 20:55, 2 December 2021
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	==Background==		==Background==
			[[File:Enamel.png\|thumb\|Diagram of the tooth displaying the enamel, dentin, and pulp]]
	{{Dental numbers}}		{{Dental numbers}}

Rossdonaldson1: /* Background */

2021-12-02T20:54:09Z

Background

← Older revision		Revision as of 20:54, 2 December 2021
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	==Background==		==Background==
			{{Dental numbers}}

	==Clinical Features==		==Clinical Features==

Elcatracho: /* See Also */

2021-02-20T19:55:48Z

Elcatracho: /* Management */

2021-02-12T00:11:21Z

Management

← Older revision		Revision as of 00:11, 12 February 2021
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	==Management==		==Management==
	[File:Enamel.png\|thumb\|Diagram of the tooth displaying the enamel, dentin, and pulp]		[[File:Enamel.png\|thumb\|Diagram of the tooth displaying the enamel, dentin, and pulp]]
	===Enamel ('''Ellis Class I''')===		===Enamel ('''Ellis Class I''')===
	*Routine follow up only; nothing to do		*Routine follow up only; nothing to do

Elcatracho: /* Management */

2021-02-12T00:10:53Z

Management

← Older revision		Revision as of 00:10, 12 February 2021
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	==Management==		==Management==
			[File:Enamel.png\|thumb\|Diagram of the tooth displaying the enamel, dentin, and pulp]
	===Enamel ('''Ellis Class I''')===		===Enamel ('''Ellis Class I''')===
	*Routine follow up only; nothing to do		*Routine follow up only; nothing to do

Rossdonaldson1: /* Crown Root/Root fracture- not a common dental injury */

2019-12-10T06:00:23Z

Crown Root/Root fracture- not a common dental injury

← Older revision		Revision as of 06:00, 10 December 2019
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	*Discharge with [[penicillin]] or [[clindamycin]] as they have [[pulpitis]] by definition		*Discharge with [[penicillin]] or [[clindamycin]] as they have [[pulpitis]] by definition

	===Crown Root/Root fracture- not a common dental injury===		===Crown Root/Root fracture (not a common dental injury)===
	*Treatment for both is reduction, stabilization if fracture segment is stable and outpatient follow with dentist in 24-48 hours.		*Treatment for both is reduction, stabilization if fracture segment is stable and outpatient follow with dentist in 24-48 hours.
	**If fracture segment unstable/very mobile may need to extract to prevent aspiration.		**If fracture segment unstable/very mobile may need to extract to prevent aspiration.

Rossdonaldson1: /* Management */

2019-12-10T05:59:34Z

Management

← Older revision		Revision as of 05:59, 10 December 2019
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	==Management==		==Management==
	*Enamel ('''Ellis Class I''')		===Enamel ('''Ellis Class I''')===
	**Routine follow up only; nothing to do		*Routine follow up only; nothing to do
	**May consider filing down sharp edges with an emery board for comfort		*May consider filing down sharp edges with an emery board for comfort
	*Enamel + dentin (yellowish) ('''Ellis Class II''')
	**Patients experience sensitivity to hot/cold stimuli and air passing over tooth during breathing		===Enamel + dentin (yellowish) ('''Ellis Class II''')===
	**Cover exposed dentin with calcium hydroxide to decrease pulpal contamination		*Patients experience sensitivity to hot/cold stimuli and air passing over tooth during breathing
	***Greater than 2 mm of dentin offers more protection to pulp, can be covered with dental cement only. If dentin is less than 0.5 mm then cover with calcium hydroxide and dental cement over it.		*Cover exposed dentin with calcium hydroxide to decrease pulpal contamination
	**** Dermabond can be used if no other materials are available <ref>[https://www.annemergmed.com/article/S0196-0644(05)02149-9/abstract Hile, et al Use of 2-Octyl Cyanoacrylate for the Repair of a Fractured Molar Tooth. Annals of Emergency Medicine May 2006Volume 47, Issue 5, Pages 424–426]</ref><ref>[https://emedicine.medscape.com/article/82755-overview#a7 Medscape Fracture Teeth by Thomas et. al. ]</ref>		**Greater than 2 mm of dentin offers more protection to pulp, can be covered with dental cement only. If dentin is less than 0.5 mm then cover with calcium hydroxide and dental cement over it.
	**Next day follow up		*** Dermabond can be used if no other materials are available <ref>[https://www.annemergmed.com/article/S0196-0644(05)02149-9/abstract Hile, et al Use of 2-Octyl Cyanoacrylate for the Repair of a Fractured Molar Tooth. Annals of Emergency Medicine May 2006Volume 47, Issue 5, Pages 424–426]</ref><ref>[https://emedicine.medscape.com/article/82755-overview#a7 Medscape Fracture Teeth by Thomas et. al. ]</ref>
	*Enamel + dentin + pulp (reddish) ('''Ellis Class III''')		*Next day follow up
	**On wiping fractured surface with gauze, blood is easily seen
	**Immediate dental referral (dental emergency) - should be seen within 24 hours		===Enamel + dentin + pulp (reddish) ('''Ellis Class III''')===
	**If not able to be seen immediately, cover exposed pulp with calcium hydroxide and dental cement.		*On wiping fractured surface with gauze, blood is easily seen
	**Discharge with [[penicillin]] or [[clindamycin]] as they have [[pulpitis]] by definition		*Immediate dental referral (dental emergency) - should be seen within 24 hours
	*Crown Root/Root fracture- not a common dental injury		*If not able to be seen immediately, cover exposed pulp with calcium hydroxide and dental cement.
	**Treatment for both is reduction, stabilization if fracture segment is stable and outpatient follow with dentist in 24-48 hours.		*Discharge with [[penicillin]] or [[clindamycin]] as they have [[pulpitis]] by definition
	***If fracture segment unstable/very mobile may need to extract to prevent aspiration.
	**Crown Root fracture does not always involve pulp vs root fractures almost always involves pulp.		===Crown Root/Root fracture- not a common dental injury===
			*Treatment for both is reduction, stabilization if fracture segment is stable and outpatient follow with dentist in 24-48 hours.
			**If fracture segment unstable/very mobile may need to extract to prevent aspiration.
			*Crown Root fracture does not always involve pulp vs root fractures almost always involves pulp.

	==Disposition==		==Disposition==

Hoxbox: /* Management */

2019-11-16T20:15:10Z

Management

← Older revision		Revision as of 20:15, 16 November 2019
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	**Cover exposed dentin with calcium hydroxide to decrease pulpal contamination		**Cover exposed dentin with calcium hydroxide to decrease pulpal contamination
	***Greater than 2 mm of dentin offers more protection to pulp, can be covered with dental cement only. If dentin is less than 0.5 mm then cover with calcium hydroxide and dental cement over it.		***Greater than 2 mm of dentin offers more protection to pulp, can be covered with dental cement only. If dentin is less than 0.5 mm then cover with calcium hydroxide and dental cement over it.
			**** Dermabond can be used if no other materials are available <ref>[https://www.annemergmed.com/article/S0196-0644(05)02149-9/abstract Hile, et al Use of 2-Octyl Cyanoacrylate for the Repair of a Fractured Molar Tooth. Annals of Emergency Medicine May 2006Volume 47, Issue 5, Pages 424–426]</ref><ref>[https://emedicine.medscape.com/article/82755-overview#a7 Medscape Fracture Teeth by Thomas et. al. ]</ref>
	**Next day follow up		**Next day follow up
	*Enamel + dentin + pulp (reddish) ('''Ellis Class III''')		*Enamel + dentin + pulp (reddish) ('''Ellis Class III''')

← Older revision		Revision as of 19:55, 20 February 2021
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	==See Also==		==See Also==
	*[[Dental problems]]		*[[Dental problems]]
			*[[In-Training Exam Review]]

	==External Links==		==External Links==