Submit your "most important thing" recorded immediately after lecture.
Submit by clicking the comment link below. You may post comments anonymously or create a username. For credit, your student number and last name must accompany any entries.
You must post by Sunday, April 22, at 11:59 PM for credit.
Subscribe to:
Post Comments (Atom)
84 comments:
Natalie Nguyen #159:
For crown root fractures, take PAs with multiple views to confirm. Also, in terms of dental trauma, the following situations are indicated for extractions: 1) if >2mm sub-alveolar, 2) if root fracture is in gingival third, 3) if deciduous teeth are extrusively luxated >2mm.
If a mom or dad calls saying their child's tooth has just been knocked out, the best advice is to tell the parent to place the tooth back in the socket.
Joanne Kim #140
In an extrusive injury of deciduous teeth if the tooth is extruded more than 2 mm we should extract it. If less than 2mm,anesthetize and have the child bite down on a cotton roll and splint the teeth together.
Heidi Gonzalez #526
In intrusive injuries in a primary tooth, if the tooth is not too far intruded, leave it and wait 4-6 weeks for the tooth to re-erupt, if it does not re-erupt extraction is indicated.
Claudia Rodriguez #531
It is important to tell the parents that the best thing to do when their child's tooth has been knocked out is to put the tooth back into the socket and to only handle the tooth by "the white part" (crown).
Steph Morphis #154
Gingival Third Fracture has very poor dx. Most cases, extraction is required.
Jeff Kim
139
Root fracture is something that usually does not occur in young kids because the bone is not as dense.
Kim Pham #167
The most magical moments for me came during the discussion on fractures that occurred in the apical 1/3 of the root. This type of fracture can heal via a fibrous or cemental union, and the tooth may remain vital. I was also interested in the comment that Canadians say root with a long 'o', whereas in the USA, we say root with a short 'o'. Pretty magical.
Sean Young #192
1. Socket is the best place to preserve avulsive tooth.
2. If fruvture line is subgingivaa 2mm or deeper, extration is indicated.
3. Intrusion has the worst prognosis.
Tiffany Hsu #529
Root fracture at Gigival 1/3rd has poor prognosis and indicated for extraction. If in the middle or apical 1/3rd, reduce with biting force, then splint with heavy wire and composite for 2 months.
Dilshad Abtin #524
Apical third fractures, good chance of maintaining pulp vitality if not much separation. If deciduous tooth has extruded more than 2 mm, extract it. Root resorption is very common when there has been damage to the root.
Ryan Plewe
#168
For root fractures, the course of treatment is dictated by the degree of bony support of the remaining coronal segment and by the risk of bacterial infection. That is, fractures in the apical 1/3 do not require immediate extraction, whereas those in the gingival 1/3 are frequently mobile and susceptible to microbacterial inflammation, and thus require extraction.
Dan Nelson #157
Pulp necrosis is most likely to occur with intrusive injuries (vs. subluxation and extrusion)
Orly Hendizadeh, #134
The most important concept that Dr. Duperon taught was that the best place to transport an avulsed tooth is the socket.
Marc Thomas #182
The best place to keep an avulsed tooth is the socket and the next best is tissue medium than HBSS. The PDL cells will start to lose viability and burst if kept in water or saliva.
Liz Miltner #150
Root fractures can be repaired, but fractures in the gingival third have the worst prognosis. If a child's teeth are knocked out, tell the parent to place and hold it back in the socket.
If a crown-root fracture is more than 2 mm subalveolar, then the tooth needs to be extracted.
Amy Dixon #120
Apical 1/3 fracture has the best prognosis and gingival 1/3 fracture has the worse prognosis.
Shannon Lazarian
#133
Kids with class II occlusion are at higher risk for intrusive fractures in the Mx ant. It's a good idea to keep some Hanks Balanced buffer solution or Viaspan in your office.
Emmy Le #142
It was a magical moment when I learned that gingival third fractures and deciduous teeth extrusively luxated greater than 2mm are indications for extraction.
Josh Cardwell #108
The prognosis of apical 3rd fracture is better than gingival 3rd.
The best place to keep a fallen out tooth is the socket by holding the crown and after rinsing the dirt of the tooth.
Eric Cheung 110
The best place to keep a tooth that has been knocked out is back in the original socket it came from until you get to the DDS.
-Shelton Chow #111
An avulsed tooth is best transported within the socket in which it came out of. An intrusive injury has a poor prognosis. Most pulpal pathosis occurs with this type of injury.
Mihir Shah
175
Michelle Duong #123
Tell parents whose child's teeth just got knocked out to place the teeth back into the child's socket and handle the tooth by the crown only , avoid the root.
Root fractures are rare in primary teeth because the bone is more flexible. If the root fracture is in the cervical third, best option is to extract.
Stacy Yu #193
In intrusive luxation the chances of the alveolar bone is almost always comminuted and that increases the chances of ankylosis and can hamper the eruption of permanent teeth.
Asha SethuMadhavan
#532
I used to think that the best medium to transport an avulsed tooth is milk, so it was pretty magical and useful to learn that it is actually in the tooth's original socket.
-Sanam Soroudi
#180
Gingival 1/3 root fractures have a very poor prognosis --- ext.
multiple pa's from multiple views are helpful in dx of fractures
farshid siami #177
Placing a tooth in the vestibule is the worst location to place an exarticulated tooth.
Carol Kim #138
I was surprised to find out that the best place to transfer an avulsed tooth is in the socket as opposed to milk. Also, it was good to know that many schools have some sort of mixture of HBBS for the purpose of an avulsed tooth.
-Enayat Astani
#308
Dental injuries that involve crown-root fractures more than 2mm sub-alveolar or lie in coronal 1/3 of root should be extracted due to likelihood of infection and pulpal death; apical 1/3 fractures that result in separation and extusive luxation have guarded prognosis and may require endo treatment; if tooth remains vital and there is no separation, tooth may heal by fixation and cementum union.
-Jeanne Wong #195
It's rare to see fractures in baby teeth. It's also best to extract complicated root fractures if it 2mm below the alveolar bone.
Tina Duong 125
When exarticulation occurs, the best way to manage the tooth is by placing it in HBBS or Viaspan. HBBS and Viaspan will also increase PDL viability and Time.
Regina Espinoza #126
Best place to keep an tooth that has came out during the baseball game is to rinse the tooth under water real quick. Do not touch the root part and put the tooth pack to the socket and rush the kid to a dentist ASAP
Xiang Li #146
The socket is the best place to store an exarticulated tooth (after rinsing & only holding the crown). Saliva, saline, or water is the worst medium to store a tooth. The best splint is made from 20 lb test monofilament as long as the adjacent teeth are suitable.
Austin Tung #187
Great statistics to know:
Pulp necrosis after luxation
1. 68% if complete roots
2. 17% if Incomplete roots
Type of luxation vs. pulp necrosis
1. Subluxation -> 26% pulp necrosis
2. Intrusion -> 96% (WoW!)
3. Extrusion -> 64%
Naomi Nguyen
158
It's important to replace avulsed teeth back into the socket, with only minor rinsing to remove debris beforehand. The tooth should not be thoroughly scrubbed or washed due to possible injury to the root membrane and surface, which would reduce the chances of successful re-implanation.
oops, forgot to write my name:
It's important to replace avulsed teeth back into the socket, with only minor rinsing to remove debris beforehand. The tooth should not be thoroughly scrubbed or washed due to possible injury to the root membrane and surface, which would reduce the chances of successful re-implanation.
Sean Nguyen, #160
Jonathan Do #121
For suspected crown root fractures, you should take 2 PAs at different angles. If crown root fractures are more than 2mm subalveolar or in the gingial 3rd has poor prognosis and the tooth should be extracted.
Some parents need instruction so they look for the tooth if it is knocked out. They would be told to hold the crown part, leave the roots untouched, rinse the tooth and try to put it back correctly into the socket asap before driving to the office.
Jing Lee
#144
For an extrusive injury on permanent teeth, first reposition with pressure, then have the patient bite on cotton roll or band seater, then splint with Nylon splint, next check for alveolar fracture, then followup vitality testing.
Matthew Moadel #151
Apical one third fractures - have best prognosis, coronal one third fractures - have worst prognosis.
If the tooth has been knoked out - best place to preserve it is to put it back into the socket without touching the root part of it.
Alina Tiraspolskaya #183
Root fractures on the gingival margin have a poor prognosis. Anything apical or in the middle has a better chance.
Ernest Lai #141
Majic moment: best transport medium for an avulsed toothis the socket itself and parents should be instructed to handle the tooth by crown only.
poonam rai
#530
The best place to store a tooth that is knocked out is in the socket. If that can't be done, then cold milk could be used.
Shelby Padua #166
Unlike other periodontal injuries, when concussion of a tooth occurs the best thing to do is leave it alone! However it will still be sensitive to percussion.
Morris Poole #169
96% of intrusive luxation will end up with pulp necrosis vs. only 26% of subluxation will have pulp necrosis.
Soheil Yashari #191
When a childs' tooth has been transported out of the socket, the best advice you can give to the parent is to put the tooth back into the socket. This will help preserve PDL cells and will thus improve treatment outcome.
Bozhena Fisher #128
It's pretty cool that root fractures do not occur often in young children. This is because their bone is relatively 'soft' and will tend to flex in response to a blow, rather than the tooth absorbing the force that would cause it to fracture.
Raquel Ulma #188
Teeth with apical thrd fractures have best prognosis while teeth with gingival third fractures have worst prognosis and are indicated for extraction. Also 96% of teeth with intrusive luxation will end up with pulp necrosis and so have worst prognosis.
Amandeep Iqbal
#527.
If a crown-root fracture is more than 2 mm sub-alveolar, then it must be extracted. Also, the socket is the best place for tooth transport and storage in the case of exarticulation.
Kevin Omoto
#163
The following tooth trauma scenarios are indications for extraction:
1. root fracture w/in the gingival third.
2. root fracture >2mm sub-alveolar.
3. deciduous tooth extrusively luxated >2mm.
Sydon Arroyo #102
It is important to take radiographs at different angles when you suspect fracture. You also have to almost always splint the tooth in any type of luxation.
Jun Flores #130
Intrusion has the worst prognosis of luxation injuries. Reduce if possible. If the deciduous tooth does not re-erupt in 2-4wks, extract. For a permanent tooth, reposition at half the distance and splint for 1week. Will most likely need RCT.
Diana Craft
115
Kids with Class II relationships are most likely to have fractures in the maxillary anterior region. Fractures in gingival 3rd of a tooth have the worst prognosis.
Robert Busan #107
If a tooth is knocked out, then the best thing to do with it is to put it back in the socket after rinsing it off. If that is impossible, milk is the best commonly found liquid in which to keep it... better than just water.
Jonathan Miller #149
Whenever there is a fracture in the gingival third of the root, it is almost certain that the pulp will die because the fracture exposes the pulp to the person's saliva and the rest of the external environment. An infection will usually occur which will ultimately require extraction of the tooth.
Richard Duong #124
The best advice to give a parent who calls in a panic because thier child has knocked out thier tooth is to put it back in the socket. Milk is the most readily available medium that will keep the PDL cells alive while they drive to your office if the parent cannot bring themselves to put the tooth back. If the tooth is put in water or saline, the PDL cells will die in 30 minutes.
Trish Barsanti #105
A primary incisor that is intruded due to a trauma and PDL is destroyed; you recommended treatment is to extract it.
Paredes #164
indications for extractions:if >2mm sub-alveolar, if root fracture is in gingival third,if deciduous teeth are extrusively luxated >2mm.
Jan Slapnicka
#533
There is a 96% chance of pulpal necrosis after an intrusive luxation.
Paul Hoang #135
2 mm is the magic number. If the fracture is more than 2mm sub-alveolar, then toss it, because after you extrude it, crown lengthening it for crown, then your crown to root ratio stinks, so the tooth would fail out anyways.
Jake Cragun #117
Most important thing that I learned form the lecture was that when a child's tooth is knocked out the best thing for the parent to do is to place it back into the socket to transport it to the Dentist office. If this is not possible then milk can also be used since it is usually very easy to obtain.
Paul Field #127
In the event of a horizontal root fracture, the further apically the fracture is positioned, the more favorable the prognosis. Fractures in the apical third, may heal completely without the need of additional treatment. The best medium in which to transport a tooth is in the socket.
Jared Martin #147
the prognosis for apical third fractures is very poor
Azadeh Ardakani
#101
Intrusive injuries on the teeth may cause ankyloses of the tooth to the alveolar bone.
Pedram Sooferi
#179
The best place to put a avulsed tooth before seeing dentist is the tooth socket.
Lei Zeng, #535
Knocked out teeth have viable PDL cells that should be carefully protected by not handling the root (only the crown of the tooth) and placing the tooth either in the socket or in an isotonic solution (not water or saliva) for preservation.
Will Traynor #186
P.S. Though not from Canada, I pronounce "root" with a long "oo".
When there is an apical third fracture it may remain vital with a possible poor or very guarded prognosis whereas a gingival third fracture usually requires extraction.
-Dave Tajima
#181
If a fracture is more than 2mm sub-alveolar, the affected tooth should be extracted because the crown-to-root ratio after preparation and extrusion is unfavorable.
Christine Chung #112
Fractures in the gingival third have the worse prognosis and fractures in the apical third have he best prognosis. The best place for an avulsed tooth to be transported is in the socket.
Gingival third fractures have poor prognosis due to salivary exposure and pulpal infection.
Lateral luxation injuries are usually accompanied by fracture of socket which should be reduced by pulling the tooth occlusaly and then guiding it into its normal position.
Edvin #100
It's interesting how pulp necrosis is so common after complete root subluxation, also, it's most common for intrusive > exrtusive > subluxation.
Sanaz Hamzehpour #132
Transport evulsed teeth in the socked, milk or water, just don't handle the root with your fingers. Fractures in the apical 1/3 of the root have a favorable prognosis.
Jared Lee
#143
In younger kids, teeth are more likely to be knocked out than fractured because their bone is less dense. Tooth fractures can be tricky; when dealing with fractured teeth, make sure you get x-rays from multiple angles.
#176
It is important to let a parent know that if his or her son has just lost to tooth to not touch the root and a dentist should never use a currette in the socket. Also the worst prognosis are those teeth with root fractures occuring in the gingival third.
It is important to let a parent know that if his or her son has just lost to tooth to not touch the root and a dentist should never use a currette in the socket. Also the worst prognosis are those teeth with root fractures occuring in the gingival third.
Niki Zarabian #194
The best place to keep a tooth that has been avulsed is in the socket itself. Parents must be advised to handle the tooth by the crown so as to avoid disrupting the PDL cells on the root.
The above comment was posted by #184
The best place to keep an avulsed tooth is in its socket immediately after a traumatic event. Hopefully it is properly oriented once the patient arrives.
Dissanayake #119
best treatment for avulsed teeth is to place back in socket.
Steve Kim, #528
If a child knocks-out a tooth, tell the parents to 'hold the white part' and rinse the tooth off with water, then place it back in the socket gently.
Post a Comment