20554501
Beschreibung
Mindmap von Zainab Patel, aktualisiert more than 1 year ago
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Erstellt von Zainab Patel
vor fast 5 Jahre
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CDH trauma PDL
injuries
- Primary
teeth
- PDL injuries (UNDER 3 TRAUMAS, be
worried about central incisor)
- Concussion
- Subluxation
- Features
- Mobile
- TTP +ve
- Mobile
- Treatment
- None
- None
- Features
- Extrusion
- Features
- V Mobile
- TTP +ve
- Elongated on
radiographs
- V Mobile
- Treatment
- Minor extrusion <3mm
- Reposition/
spontaneously
align itself
- Good
co-operation
- Reposition and flexible splint 2
weeks
- Reposition and flexible splint 2
weeks
- Follow up
- 1-2 wks, 6 wks, 6 month
- 1 YEAR, THEN 1 YEAR TILL
SUCCESSOR
- 1-2 wks, 6 wks, 6 month
- Reposition/
spontaneously
align itself
- Severe extrusion
>3mm
- XLA
- XLA
- Minor extrusion <3mm
- Features
- Lateral
luxation
- Clinical
features
- Non-mobile
- TTP
- Very displaced
- High metallic
ankylotic sound
- Non-mobile
- Treatment
- Spontaneous
repositioning if not in
occlusion
- Repositioning
- XLA
- Spontaneous
repositioning if not in
occlusion
- Clinical
features
- Intrusion
- Clinical features
- Not
mobile
- High metallic ankylotic sound
- Not
mobile
- Treatment
- Spontaneous re-eruption
- If displaced towards labial plate
- Follow up
- 1 wk, 3-4 wk (R), 6-8 wk (R),
6mnths (R), 1 yr(R),
- 1 YEAR, THEN 1 YEAR TILL SUCCESSOR
- Check at 4 weeks and if it hasn't erupted then XLA
- 1 wk, 3-4 wk (R), 6-8 wk (R),
6mnths (R), 1 yr(R),
- If displaced towards labial plate
- XLA
- Follow up
- 1 wk, 1yr
- 1 wk, 1yr
- Follow up
- Spontaneous re-eruption
- Clinical features
- Alveolar
fracture
- Treatment
- Flexible splint 4 weeks
- Follow up
- 1 wk, 4wk (R),
6-8wk (R), 1yr
(R)
- 1 YEAR, THEN 1
YEAR TILL
SUCCESSOR
- 1 wk, 4wk (R),
6-8wk (R), 1yr
(R)
- Follow up
- GA often indicated so refer
- Flexible splint 4 weeks
- Treatment
- Avulsion
- Review
- 1 YEAR, THEN 1
YEAR TILL
SUCCESSOR
- 6mnth, 1
year
- 1 YEAR, THEN 1
YEAR TILL
SUCCESSOR
- Review
- Concussion
- DO NOT VITALITY TEST
- PDL injuries (UNDER 3 TRAUMAS, be
worried about central incisor)
- Permenant
teeth
- PDL injuries (RESORPTION, LOSS OF
VITALITY & TRANSIENT APICAL
BREAKDOWN)
- Concussion
- Features
- TTP +ve
- Positive
pulp
- TTP +ve
- Treatment
- General trauma
advice
- Follow-up
- 4wks, 6wks, 1
year
- 4wks, 6wks, 1
year
- General trauma
advice
- Features
- Subluxation
- Features
- TTP +ve
- Mobile
- Positive or negative
pulp
- TTP +ve
- Treatment
- None usually
- Flexible splint 2wk
- None usually
- Features
- Extrusion
- Features
- TTP +ve
- V Mobile
- Negative
pulp
- TTP +ve
- Treatment
- Reposition & splint 2
wks
- Types
- Flexible acrylic
splint
- No wire
needed
- No wire
needed
- Flexible wire splint
- Flexible acrylic
splint
- Follow up
- 2 wk (R), 4 wk (R), 6-8
wk (R), 6mnths (R), 1
yr(R) & yearly for 5 yr
(R)
- 2 wk (R), 4 wk (R), 6-8
wk (R), 6mnths (R), 1
yr(R) & yearly for 5 yr
(R)
- Types
- Reposition & splint 2
wks
- 5 year
survival
- 95% open
apex
- 45% closed
apex
- 95% open
apex
- Features
- Lateral
luxation
- Features
- Non-mobile
- TTP +ve
- Visually
displaced
- Negative
pulp
- High metallic ankylotic
sound
- Non-mobile
- Treatment
- Splint 4
weeks
- If pulp is necrotic
RCT
- Reposition under LA fingers/ortho
NO forceps
- Splint 4
weeks
- 5 year survival
- Open apex
- 95%
- 95%
- Closed apex
- 25%
- 25%
- Open apex
- Features
- Intrusion
- Clinical
features
- Not
mobile
- Negative
pulp
- High metallic ankylotic
sound
- Not
mobile
- Treatment
- Open apex <3mm
- Spontaneous
eruption
- Spontaneous
eruption
- Open Apex
3-6mm
- Orthodontic
repositioning
- Flexible splint 2 weeks then check
if there needs to be surgical
(forceps) repositioning
- RCT 2-3 weeks
later
- Flexible splint 2 weeks then check
if there needs to be surgical
(forceps) repositioning
- Orthodontic
repositioning
- Completed root
formation
- Surgical (foreceps)
repositioning
- Flexible splint 4
weeks
- RCT 2-3 weeks
later
- Flexible splint 4
weeks
- Surgical (foreceps)
repositioning
- Endo
- Necrotic
pulp
- Necrotic
pulp
- Open apex <3mm
- Clinical
features
- Avulsion
- Treatment (clean saline,
irrigate, replant,
tetanus)
- Open
apex
- Tooth already
re-implanted
- Flexible splint 2 wks
- Tetracycline 2ds for 7 days
- Flexible splint 2 wks
- EADT <60 mins
- Flexible splint 2 wks
- Tetracycline 2ds for 7
days
- Follow up
- 2 wk (R), 4 wk (R), 3 month (R), 6mnths (R), 1
yr(R) & yearly for 5 yr (R)
- 2 wk (R), 4 wk (R), 3 month (R), 6mnths (R), 1
yr(R) & yearly for 5 yr (R)
- Flexible splint 2 wks
- EADT >60
mins
- Poor
prognosis
- Gonna need to RCT
- Gonna need to RCT
- Flexible splint 4
wks
- Tetracycline 2ds
for 7 days
- Poor
prognosis
- Tooth already
re-implanted
- Closed apex
- Tooth already
re-implanted
- Flexible splint 2
wks
- Tetracycline 2ds for 7
days
- RCT 7-10 days AFTER
re-implantation & BEFORE
splint removal
- If you do it earlier than this
then the calcium hydroxide
can increase chances of
ankylosis
- calcium hydroxide as an intra-canal
medicament for up to 1 month followed by root
canal filling
- If you do it earlier than this
then the calcium hydroxide
can increase chances of
ankylosis
- Flexible splint 2
wks
- EADT <60
mins
- Flexible splint 2
wks
- Tetracycline
2ds for 7 days
- RCT 7-10 days AFTER
re-implantation & BEFORE splint
removal
- Flexible splint 2
wks
- EADT >60
mins
- Flexible splint 4
wks
- Poor
prognosis
- Tetracycline 2ds for 7
days
- RCT 7-10 days AFTER
re-implantation & BEFORE
splint removal
- Flexible splint 4
wks
- Tooth already
re-implanted
- Open
apex
- Treatment (clean saline,
irrigate, replant,
tetanus)
- Concussion
- PDL injuries (RESORPTION, LOSS OF
VITALITY & TRANSIENT APICAL
BREAKDOWN)
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