Diferencia entre revisiones de «Dental avulsion»
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#Often associated with alveolar ridge fracture | #Often associated with alveolar ridge fracture | ||
==Diagnosis= | ==Diagnosis== | ||
#Where is the tooth? | #Where is the tooth? | ||
## May be intruded, aspirated, swallowed, or embedded in the oral mucosa | ## May be intruded, aspirated, swallowed, or embedded in the oral mucosa | ||
Revisión del 09:16 27 jun 2012
Background
- Dental emergency
- Often associated with alveolar ridge fracture
Diagnosis
- Where is the tooth?
- May be intruded, aspirated, swallowed, or embedded in the oral mucosa
- Consider facial films, CXR
- May be intruded, aspirated, swallowed, or embedded in the oral mucosa
Management
- Adult
- Replace avulsed tooth as soon as possible (as long as no alveolar ridge fx, no severe socket injury)
- If reimplanted within 1hr 66% chance of good outcome
- Rinse tooth in saline, suction socket (if necessary), reimplant tooth, bond tooth to neighboring teeth
- Manipulate tooth only by the crown
- Storage solution (in order of efficacy): Hank's balanced salt solution > Milk > saliva > saline
- Penicillin or clindamycin
- Replace avulsed tooth as soon as possible (as long as no alveolar ridge fx, no severe socket injury)
- Child
- Do not reimplant primary teeth
- Refer to pedodontist for space maintainer
- Do not reimplant primary teeth
See Also
Source
- ER Atlas
- Tintinalli
- UpToDate