Traumatology Self Assessment

Crown fracture, uncomplicated
 TrueFalse
Uncomplicated crown fracture extends to the pulp
This type of trauma is typical in young individuals of 8 -11 years of age
In the above mentioned age group, preserving pulp vitality is important for continued root development
Treatment usually requires a prosthetic crown
Composite filling with acid etching and bonding is a typical treatment in uncomplicated crown fracture
Crown fracture, complicated
 TrueFalse
Pulp is not involved in the fracture line
Complicated crown fracture: Critical time elapsed after trauma to decide between pulp capping and pulpotomy is 6 hours
Complicated crown fracture: Critical time elapsed after trauma to decide between pulp capping and pulpotomy is 24 hours
Complicated crown fracture: Critical time elapsed after trauma to decide between pulp capping and pulpotomy is 48 hours
Complicated crown fracture: If partial pulpotomy is indicated, the depth of amputation should be at least 2 mm below exposure site
Complicated crown fracture: If partial pulpotomy is indicated, the depth of amputation should be at least 5 mm below exposure site
No follow-up radiographs are needed after complicated crown fracture
Follow-up radiographs after complicated crown fracture are taken at 3 weeks, 3, 6, and 12 months
Treatment of complicated crown fracture usually requires a prosthetic crown
Crown-root fracture
 TrueFalse
In crown-root fractures endodontic treatment is often unavoidable
In crown-root fractures the endodontic treatment choice is either pulpotomy or pulpectomy
In crown-root fractures the choice of the type of endodontic treatment is not dependent on the stage of root development
In crown-root fractures surgical or orthodontic treatment may be necessary
In crown-root fractures without pulpal exposure, EPT can give false negative results the first few weeks after trauma
Crown-root fractures always require clinical and radiographical follow-up
Horizontal root fracture
 TrueFalse
In horizontal root fracture the coronal fragment may require repositioning
The tooth becomes always necrotic in horizontal root fracture
If splint is necessary in horizontal root fracture, it will be used for 1 week
If splint is necessary in horizontal root fracture, it will be used for 8 - 12 weeks
Apical fragment must be always removed
When endodontic treatment is indicated In horizontal root fracture, both fragment must be instrumented and filled
Concussion
 TrueFalse
Concussion: the tooth is always loose in the socket
Concussion: the tooth is always displaced in the socket
Concussion: negative response in sensitivity test (EPT) is not an indication for root canal treatment
Subluxation
 TrueFalse
Splinting is always indicated in subluxation
Duration of splinting, when required, is 1 - 2 weeks
Subluxation: negative response in sensitivity test (EPT) is not an absolute indication for root canal treatment
The tooth is loosened in subluxation
The tooth is dispositioned in subluxation
Extrusive luxation
 TrueFalse
The tooth is loosened in extrusive luxation
The tooth is dispositioned in extrusive luxation
Repositioning is always required in extrusive luxation
In extrusive luxation the possibility of external inflammatory root resorption is over 50%
In extrusive luxation the possibility of external inflammatory root resorption is under 10%
In extrusive luxation the possibility of external inflammatory root resorption is over 20%
Splint is maintained for 8 weeks in extrusive luxation
Splint is maintained for 2 - 3 weeks in extrusive luxation
In extrusive luxation the tooth always remains vital
Lateral extrusion
 TrueFalse
In lateral extrusion the tooth is typically dislocated buccally
Surgical operation is required to reposition the tooth in lateral extrusion
Digital pressure is used to move the tooth back through the buccal fenestration into the socket
Splint is maintained for 8 weeks in lateral extrusion
Splint is maintained for 3 - 4 weeks in lateral extrusion
Splint is maintained for 1 week in lateral extrusion
In cases of marginal bone breakdown in lateral extrusion, the splint is maintained an extra 3 - 4 weeks
In lateral luxation the possibility of external inflammatory root resorption is over 50%
In lateral luxation the possibility of external inflammatory root resorption is under 10%
In lateral luxation the possibility of external inflammatory root resorption is over 20%
Lateral luxation seldom results in pulpal necrosis
Intrusive luxation
 TrueFalse
In intrusive luxation the tooth has come out of the socket
In intrusive luxation the tooth is loose
In intrusive luxation orthodontic or surgical treatment is usually required to reposition the tooth
In some cases of intrusive luxation spontaneous eruption can be used
Spontaneous surgical repositioning of intruded teeth bears a high risk of external inflammatory root resorption
External inflammatory root resorption is a typical and common complication of intrusion injury
Pulpal necrosis typically follows intrusion trauma
Endodontic treatment should be started immediately after trauma
Endodontic treatment should be started 7 - 10 days after trauma when signs of external inflammatory root resorption are present
Endodontic treatment should be started ca. 4 weeks after trauma when signs of external inflammatory root resorption are present
Short term calcium hydroxide treatment of 1 - 2 weeks is typically used in endodontic treatment after intrusion trauma with external inflammatory root resorption
Follow-up is not required after intrusion injury
Avulsion
 TrueFalse
Immediate replantation should always be preferred after avulsion (exarticulation)
Replantation of an avulsed tooth must always be done by a dentist
If immediate replantation of an avulsed tooth is not possible, it must be kept in the patient's mouth or in milk
When possible, the avulsed tooth should be rinsed with saline before replantation
In avulsion treatment, systemic antibiotics should be used
Check for / provide tetanus prophylaxis when the tooth has been in contact with soil
Maintain splint for 3 months
Maintain splint for 1 - 2 weeks
Endodontic treatment is started immediately after avulsion
Endodontic treatment is started 7 - 10 days after avulsion
Endodontic treatment is seldom required after avulsion
When external inflammatory root resorption follows avulsion trauma, calcium hydroxide treatment is used in the root canal