. The American Academy of Pediatric Dentistry and the British Society of Pediatric Dentistry with the International Association of Dental Traumatology (IADT) have created to guidelines that outline the different types of trauma along with their methods of diagnosis and treatment. Traumatic dental injuries (TDIs) most frequently occur in preschool, school-age children and young adults. 25% of all school children experience dental trauma. The most common TDIs in the primary dentition is luxation (Dent Traumatol 2012;28:2-12). The following guidelines for management of dental traumatic injuries in primary teeth were attained using the AAPD and IADT.
Dental traumatic injuries include:
Fractures of the the teeth and alveolar bone
Infraction
Definition: Incomplete fracture of enamel without loss of tooth structure
Diagnosis: No radiographic abnormalities. Radiographs recommended, especially if other signs or symptoms are present
Treatment: Etching and sealing with resin; Smooth sharp edges
Follow up: Usually none
Enamel fracture
Definition: Complete fracture of the enamel with no visible sign of exposed dentin
Diagnosis:
Clinical - enamel loss is visible
Percussion: not tender
Mobility: normal
Sensitivity: not reliable
Radiographic findings: Enamel loss is visible
Radiograph recommended: PA, occlusal, and eccentric exposures to r/o root fracture or luxation injury.
Treatment: Smooth sharp edges. If the patient has a lip or cheek lesion, it is advisable to search for tooth fragments or foreign materials.
Follow up: None
Crown fracture - uncomplicated
Definition: an enamel-dentin fracture without pulp exposure.
Diagnosis:
Clinical: visible loss of enamel and dentin
Percussion: not tender
Mobility: n...
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DiAngelis AJ, Andreasen JO, Ebeleseder KA et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012; 28:2–12.
iAngelis AJ, Andreasen JO, Ebeleseder KA et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. injuries in primary dentition. Dental Traumatology 2012;28:174-182
Lee, Jessica Y., Vann Jr, William, F, Asgeir Sigurdsson. Management of avulsed permanent incisors: A decision analysis based on changing concepts. Pediatric Dentistry 23:3, 2001. http://www.aapd.org/assets/1/25/Lee-23-04.pdf
McIntyre J, Lee J, Trope M, Vann WJ, Permanent tooth replantation following avulsion: Using a decision tree to achieve the best outcome. Pediatr Dent 2009;31(2):137-44.
Positive results have been seen on periodic checkups and most of the patients didn’t complain. One patient suffered from plaque deposition on abutment teeth due to insufficient oral hygiene. Gold copings protect root surface but are expensive which makes the treatment overall expensive. Most of the time canines are used as abutments because they are frequently the last teeth to be lost in the jaw because of their large root surface
3) Describe the rationale and demonstrate how to chart existing restorations (amalgam, composite, gold, crowns, bridges, other), missing teeth, incipient caries and caries.
The Faculty of General Dental Practice is responsible for continued professional development of dental clinicians. It is committed to improving standards of patient care within dentistry by providing up to date publications and guidelines for clinicians. The standards and guidelines by the FGDP are evidence based and are recognised as authoritative statements of good practice within the profession (REF). The FGDP have produced standards and evidence-based guidelines detailing the Selection Criteria for Dental Radiography (REF).
Nevertheless, it may also lead to mandibular fracture. Bone strength reflects the integration of 2 main features: bone density and bone quality.”(3). probably the only clinically applicable index of bone quality at present is a patient’s history of a fragility fracture. In the absence of methods of measuring bone quality, the diagnosis of osteoporosis tends to be made on the basis of low bone density. (Note: The World Health Organization (WHO) (4) defines fragility fracture as “a fracture caused by injury that would be insufficient to fracture normal bone: the result of reduced compressive and/or torsional strength of bone.” Clinically, a fragility fracture may be defined as one that occurs as a result of minimal trauma, such as a fall from a standing height or less, or no identifiable trauma
I am currently studying at CFCC to get into the Dental Assisting program. Upon graduating, I would like to acquire a job at an orthodontists office. The employment for this occupation is actually expected to grow much faster than average; between 2008 and 2018, employment is expected to grow 36 percent. The job demand in the Cape Fear area seems to be fairly higher than other areas in North Carolina, and higher than some other states as well.
After the treatment and procedure is complete, patients leave with healthier, more beautiful teeth, giving them the confidence to ask someone out on a date or the confidence to smile on an important job interview. Dentistry is and has been for centuries, an important aspect of people’s ...
Orthodontic treatment can greatly improve ones’ self-esteem, attitude, and make ones’ life happier. A beautiful smile can always brighten someone day tremendously. The benefits of orthodontic treatment go beyond the apparent physical changes of an important and straighter smile; it is likewise a great way to mend a person’s overall self-image. Having a beautiful straight smile is imperative, even more important is the essential to alleviate any possible health problems associated with the teeth or jaw. Crooked teeth, poor eating and oral hygiene habits, or jaw problems may contribute to improper cleaning of teeth, leading to tooth decay and, possibly, gum disease or total tooth loss. Over time, excessive strain on gum tissue and the bone that maintenances the teeth may harm the jaw joints leading to problems such as headaches or face and neck pain. Orthodontic problems that go untreated can lead to abnormal wear of tooth surfaces, chewing and digestion difficulties, speech impairments, and self -esteem problems (www.grorthodontics.com).
One of the most common fractures accompanying perimortem trauma is a ‘butterfly fracture’, commonly located on long bones like the fibula (as seen in Figure 1). The analysis of perimortem trauma was also aided by detailed identifying characteristics of fracture-like topographies. Out of 111 perimortem skeletal traumas observed in this study, 38 (34.2%) of them featured these types of characteristics (Moraitis, et al, 2008). Figure 2 details the breakdown of these characteristics.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.
Kiran, B. (2011). Child Abuse and Neglect. Journal of Indian Society of Pedodontics and Preventive Dentistry. p.79.
Nowadays the practice of dentistry is becoming more challenging and complex because of the information explosion regarding dental materials and equipment, increasing need for continuous professional development and an increasingly litigious society. Hence there has been a paradigm shift towards evidence-based healthcare .
Cosmetic dentistry is a specialized field that deals with improving the aesthetics of teeth and the human face. The teeth are an important part of human beauty. Even minor damage to the teeth, such as breakage or loss can drastically alter the overall appearance of the face. This is where cosmetic dentistry comes in to restore beauty. Cosmetic dentistry has become a highly specialized branch due to various advancements in surgical procedures and diagnostic techniques. Several new materials have also been discovered. These materials are very close to the natural enamel and bone from which teeth are made and are virtually indistinguishable. Cosmetic dentistry is an option in conditions such as teeth loss, gaps between teeth, cracked or chipped teeth, cavities and dental
In the past, diseased or damaged teeth could not be salvaged and in most cases, had to be pulled out. However, in the last three decades, endodontic dentistry has evolved to quite an extent and today, professionals trained in this specialty can help save teeth and repair any inherent damage. Common endodontic procedures include root canal therapy, fixing of broken teeth and repairing dental trauma.
Forensic dentists have played a major role in the identification of remains in mass disasters, in crime investigations, in ethnic studies, and in the identification of decomposed and disfigured bodies in situations such as fire and car accidents (1). Teeth are considered to be a great form for identification as teeth are mostly composed of enamel. Enamel is the hardest tissue in the body and can withstand extremely harsh conditions (1). Two forms of dental identification of humans exist. These two forms are comparative and when no ante-mortem (before death) dental records are available. The comparative form of identification compares the ante-mortem and post-mortem (after death) dental records (1). Dental records con...
Growing up I heard many stories from my peers of their experiences at the dentist’s office. It is upsetting to say that most of my visits were vividly terrifying. As a child, the grinding, scratching, and high-pitched twangs of the instruments digging around in my mouth would leave my ears ringing and teeth vibrating every single time. The smell of fluoride and disinfectants permanently infected the air, sending chills through my body the minute I walked in. I quickly learned that latex posses an extremely unappetizing aftertaste. Needless to say, I was not always enthusiastic about going to the dentist’s office and getting braces did not make anything better for me.