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Feeling pain near the proximal fibula during palpation is a positive indication of a Maisonneuve fracture. [12] Ankle instability is often associated with a damaged proximal fibula in a Maisonneuve fracture, so patients are typically asked about the mechanism of injury. Mortise stability is examined to rule out the possibility of an isolated ...
Dental avulsion is a true dental emergency in which prompt management affects the prognosis of the tooth. [14] Replantation of the tooth within 15 minutes is associated with the best prognosis as periodontal ligament (PDL) cells are still viable. Total extra-oral dry time of more than 60 minutes, regardless of storage media, has poor prognosis.
In mature teeth, root canal treatment is usually performed Non-emergency: removal of loose fragment (following gingivectomy, surgery or via orthodontics), root canal treatment and restoration with post-retained crown In extreme cases (such as a vertical fracture), tooth may need to be extracted 6–8 weeks: clinical and radiographic examination
An avulsion fracture is a bone fracture which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma. This can occur at the ligament by the application of forces external to the body (such as a fall or pull) or at the tendon by a muscular contraction that is stronger than the forces holding the bone ...
Fibular fracture. Maisonneuve fracture – a spiral fracture of the proximal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the interosseous membrane; Le Fort fracture of ankle – a vertical fracture of the antero-medial part of the distal fibula with avulsion of the anterior tibiofibular ligament [16]
They are occasionally called caveated enamel fractures. It is a micro-fracture or superficial break in a tooth's enamel layer that does not go into the dentin underneath. Usually, trauma—like a direct blow to the tooth—or stress from too much pressure—like bruxism—causes these infractions.
Occlusal trauma; Secondary occlusal trauma on X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened PDL surrounding the premolar.
Intraorally, if the fracture occurs in the tooth bearing area, a step may seen between the teeth on either side of the fracture or a space can be seen (often mistaken for a lost tooth) and bleeding from the gingiva in the area. There can be an open bite where the lower teeth, no longer meet the upper teeth.
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