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Category: Trauma
DENTAL TRAUMA 2
DENTAL TRAUMA: This 12 yo healthy boy presented to our office after his face had an unfortunate meeting with a bed railing while studying with his father. Fortunately, his parents were mindful enough to bring the fracture incisal edge with them to the appointment. Clinical exam determined that this is an Uncomplicated Crown Fracture (Ellis Class II). Although there was no pulp exposure, we can see blushing of the dentin from the occlusal photo. Pulp vitality testing was inconclusive because he was non-responsive to thermal stimulus; this is very common and traumatized teeth can be non-responsive for up to 2-3 months. […]
TRAUMA AND CBCT
TRAUMA AND CBCT: Yet another trauma case where CBCT evaluation was an integral part of diagnosis and treatment planning. This patient presented to our office two days after taking an elbow to the mouth during a volleyball match. The patient stated immediately following the incident, he noted bleeding of the gingival sulcus and pain tooth #8. He denied tooth movement or malpositioning. Tooth #8 had a full coverage crown, was tender to percussion and palpation, Class III mobility, no response to cold, no isolated deep probing depths, and widened PDL space in the apical third. Teeth #6, 7, 9, 10, and […]
TRAUMA
TRAUMA: 15 y.o. male presented to our office 4 days following a moped accident which traumatized tooth #9. The patient stated tooth #9 was extruded approximately 2mm, and that he immediately pushed it back into the socket with his fingers. Tooth #9 clinically presented with Class II mobility, 3-4mm probing depths with heavy bleeding upon probing, and an exaggerated lingering response to cold. The PA radiograph demonstrated a mid-root horizontal root fracture. CBCT examination demonstrated an oblique horizontal root fracture approximating the palatal osseous crest. Despite guarded prognosis, it was in the best interest of the patient to maintain tooth […]
CBCT and TRAUMA
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TRAUMA MANAGEMENT
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