Dental Trauma Management
A forceful trauma to the teeth may result in the following: 1. Chipped/Fractured crown 2. Luxation (tooth is partially displaced ) 3. Avulsion (tooth is completely displaced) 4. Root Fracture
Chip / Fracture
After a trauma, the tooth may be chipped. This chip may be confined to the enamel (outer layer of tooth), enamel-dentine (involving the second layer of tooth) or extend to the pulp (Fig. 01). When the chip is confined to the enamel/enamel dentine (Fig. 02), the treatment may range from smoothening up the chipped surface to doing a filling or putting a crown on the tooth. However, when the fracture has extended to the pulp of the tooth, root canal treatment is indicated.
Trauma may result in root fracture. This is usually indicated through slight mobility of the tooth. It will be tender when biting. Radiographs will be needed to identify the root fracture. The tooth with a root fracture needs to be stabilised with a splint. Root canal treatment may be required if the tooth becomes non-vital.
A tooth may be displaced partially from the socket after the trauma (Fig. 01). It is carefully repositioned and splinted with a flexible wire. A root canal treatment is usually required if the tooth becomes non-vital.
An avulsed tooth is a tooth that is completely displaced out of its socket (Fig. 01). The avulsed tooth should be replanted into the socket within an hour. If the tooth cannot be replanted immediately, it should be stored in a suitable medium e.g. cold milk, and the child should be brought to the dentist as soon as possible. A tooth that is replanted within an hour has a better prognosis. The avulsed tooth will be splinted for stabilisation (Fig. 02). Root canal treatment must be instituted within 2 weeks for an avulsed tooth.
Are you Experiencing a Tooth Fracture, Toothache, or any Form of Dental Pain?
Consult our endodontists today.
*Twin City Endodontics is a CHAS and MediSave-accredited dental clinic.
*Dental surgeries are MediSave-claimable. For more information, please refer to MOH’s website.
*Treatment costs vary depending on the complexity of each case and you will be advised during consultation.