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Dental Trauma Case Study

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Recommended: Risk factors of dental trauma

Traumatic dental injuries are common, attention-seeking problems that affect children worldwide. It is of utmost importance to treat such injuries correctly and on time to improve future outcomes and avoid pulpal and periodontal damage in cases of permanent tooth injury. It is as important to manage TDI in primary teeth to avoid disruptions to the succedaneous permanent teeth. Dental trauma falls under four main categories according to Andreasen (Feliciano and de França Caldas Jr, 2006); injuries to the hard tissues and dental pulp, injuries to the periodontium, injuries to the supporting alveolar bone, and injuries to the oral mucosa. Injuries to the Hard Tissues and Dental Pulp Uncomplicated Crown Fracture: this can include either an …show more content…

As an emergency treatment if the pulp is not involved, the fracture should be stabilized. Once the final treatment is decided upon, the options may range from removal of the fractured segment, removal of the fractured segment along with gingivectomy or osteotomy, removal of the fractured segment along with orthodontic extrusion, decoronation (if implant will be placed later in order to preserve alveolar bone, or extraction. These options will vary depending on the amount of fractured root and the clinical situation. If the pulp is involved, the pulp’s vitality should be preserved especially if the tooth has an open apex. The same treatment options are available as the previous situation, however, pulp therapy must be performed. Follow up should be done to monitor the tooth. Root Fracture: this involves a fracture of the tooth across the root through the cementum, dentin and pulp. The fracture can be either in the cervical, middle, or apical third of the …show more content…

The correct repositioning of the segment should be confirmed along with the location of the fracture line radiographically. If the fracture line is in the apical or middle thirds of the root, a flexible splint should be placed for 4 weeks. If the fracture line is at the coronal third, a flexible splint should be placed for up to 4 months. There should be follow up for the tooth in order to monitor the vitality of the pulp at 6-8 months and then yearly. If there is necrosis of the pulp, then root canal treatment should be done for the coronal

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The crown of a tooth is the top part, the only exposed main part. Enamel which is the hardest substance inside the human body, covers the whole crown. Usually there is a yellow-white color area that happens to be very sensitive, that would be the neck of a tooth, it protects the nerves (Collins). The main part in a mouth that gets the most infections is the small 2mm space that is in between the tooth and the gums, that is known as the gingival sulcus (Collins). When woking inside of a patents mouth the anantomy of the human moth will come in handy,

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There are multiple possible causative factors for the fracture to happen in different places. Crown fracture can happen due to weakened crown caused by large carious lesion, smaller bulk of the crown, abnormal root form and an impatient or frustrated dentist might have applied heavy forces with the forceps. As it happens even to the most skilled dentists, it shouldn 't be thought of as a disaster. Dentist should not proceed with extraction and must assess the situation. Whether to proceed with the extraction or not depends on many factors including how extensive the fracture is or if there is adequate or insufficient access to the root to grasp the tooth firmly.

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The second fracture is significantly larger, most likely the finishing blow; it intersects with the first, travelling from the sagittal suture to the squamosal suture, from the squamosal suture to the cranial base, from the base to the ear canal, and from the ear canal to the left squamosal suture. The right side of the face also has signs of trauma at the right eye socket, nose, back teeth, and cheek areas. In the thorax, right ribs 6-9 had buckle and spiral

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Most of the human bones are strong and can stand pressure; however there is times when it can 't and that leads to a fracture(medicalnewstoday.com). A fracture is when you do something harsh to your body and you end up breaking a bone. “A percentage of bone fractures occurs because of high force impact or stress”(medicalnewstoday.com). There is a variety of categories for fractures but according to WebMD Medical Reference, the main are complete, incomplete, compound and simple. A complete one is when you break a part of you bone completely, an incomplete is when you just dont break it 110%, a compound is when you break that bone and the connection of the other bone, and lastly, simple, is when you just break that bone.

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