emergency measures to deal withteeth trauma
The teeth bruised accidents are common, especially in children, and the highest percentage of access is at the age of 2-4 years, at the age of 8-11 years.
I will follow the following classification of Ellis to the teeth to ease bruises and spread wide:
A - fractions of the port
Is processed and refined Ptenaim sharp edges of the port and the suppression of tablets soften rubber to prevent irritation of the tongue and lips, but if you lose a large amount of the port, especially if affected by the point of contact should be rebuilt in a way Balcolmbouzayt Age scratching acid.
A - fractions of the port and Ivory
We may first put on the Ivory Alawginat exposed and restored break out for several weeks prior to Treatment to relieve the Pulp and recover.
A - If a piece of an existing fracture bring her back to her place Belsagaha article Gentlemen lenses after scratching acid.
B - If you lose a piece of broken Nawwadha Balcolmbouzayt using the acid etch.
A - break the port and ivory with pulp exposure:
- Breaking the exposure of a small and simple: Just make direct coverage of Endodontic Treatment provided that the speed (during the first day of the incident
- Big break and exposure Kipper: You may need to pulpectomy and restoration of Age and the crown was driven through a radical supporter according to the patient's age.
- Preferably in the teeth boys incomplete Peak preserve pulp vitality to allow the formation of normal roots, a job by the living pulp amputation (cervical or shallow) with the application of calcium hydroxide to maintain a normal height. Was forced to remove the pulp if a large fraction affect the restoration.
In all cases of breaking the port and ivory with pulp exposure after we make a CPU demonization the last piece of broken, if any, or compensation Balcolmbouzayt.
A - die with or without pulp loss of the crown:
- Endodontic treatment is to open or expand the pulp chamber and secure in the event of the bombing and the presence of pus, with a description of antibiotics.
A - Age Almtamot peak incomplete: we resort to the traditional endodontic treatment pulpectomy with washing and cold, expansion and filling channels with Balawginat Alcottaprca suppositories.
B - Age Almtamot incomplete peak: here is pulpectomy and root canal fillings Bmeat calcium peak until the lock Palanglaq peak Apexification. And then after we lock the peak endodontic treatment and stuffing the channel with Balawginat cones.
- Age take off the entire alveolar abscess:
Explained in detail in the subject [thread = 3758] What is known about dislocation teeth?!! [/ Thread], and the subject of [thread = 3759] Important - the measure of the dislocation Alasaafa teeth [/ thread].
And treatment are briefly re-implant Almnkhala in place and install a cast while maintaining the vitality of the pulp or eradicated, as the case. - Break root with or without loss of the crown:
A - break on the third level of the apical root:
- If we Mtbdla pulpectomy, then the symptoms persist or fistula or Kalolm Cpovih radial process, we cut the peak.
- But if you do not Mtbdla Ventrkh unchanged with the control and eradication of the pulp, if necessary, may also be forced to cut the peak that the symptoms persist after pulpectomy.
B - break in the level of the middle third:
- If you are trying to Mtbdla response plots of fracture and follow the same procedures as above, but did not respond Age Fort, we may have to complete.
- If it is metastable with a cast Venthbt Age control, was forced to remove the pulp of the piece coronary or both pieces, and the symptoms persist in the segment peak Enzilha surgically. The application can sometimes titanium implants within the root canal to the end to secure the support of age in accepted his invitation.
C - a break on the third level of coronary):
- If Mtbdla If the above two pieces of gum fraction dice and prove a cast with occlusal adjustment and control, may resort to pulpectomy for both pieces if they were a stable footing in one piece. But if he was under the gum line Vensal the coronal part of the development and assess the peak for the restored Fort, or as the case.
- If the non-metastable level was above the gum is sufficient to modify the occlusion and control, may resort to install a cast in case the movement of the coronary segment. But if it is broken under the gum line Vensal piece coronary and assess the length of the peak; either Nqala or keep it with the handling of the Biya, has Ngerp calendar until the gum to Nrmmh was driven through a radical and the heart of a metal - changed place of age (shift vestibular - palatal - dislocation partial - implantation):
In all these cases we resort to re-age to normal and install a cast with the control situation, and sometimes we are forced to eliminate the pulp in the event of continuing symptoms.
- broken crown in full:
No different in treatment for almost breaking the root in the level of a third coronary.
A - bruised temporary teeth (deciduous):
And subject to the same types of previous trauma, and here are treated almost the same time taking into account the remaining teeth of the fall of temporary and permanent emergence .. There are different points in the treatment of temporary teeth are:
- In cases of pulp dies addition to the above, we kick the age if there is evidence or indication of the inflammation around the peak to prevent potential harm to the Permanent Bud Age.
- In the full dislocation Age: Age not re-planting to prevent damage or permanent Bud Age Age Milky adhesion and thus impede the emergence of age back. There are rare cases where we as lactic implant in the absence of the permanent bud Age.
- In fractions of roots: Age Milky kick in only fractions of a third peak Ventrk section peak where the organic word automatically.
- Change in place of Age:
A - partial dislocation: the movement was high should tooth extraction.
B - lateral dislocation (displacement) in the vestibular displacement is no fear of damage to the permanent bud Age Venaidh place to prove it and a cast, and in the palatal displacement Age kick in order to Prevent Permanent Damage to bud age.
C - implantation: the vestibular suffice to monitor the hope Bzogh automatically, and in the palatal implantation may suffice surveillance has also kick in order to prevent permanent damage to bud age.
- Refraction of the crown in full: it is often the only option is extraction.
Trauma to the back teeth (vertical fractures of teeth):
Is one of the most difficult diagnosis and treatment of fractures, and have multiple processors; broke the cam can be restored .. The fracture was at the root of the mantel arrived eradicate the pulp and put a crown full age, but did not reach the pulp may be sufficient to control, but until now the preferred treatment is tooth extraction
