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Management of injured primary teeth differs from management of permanent teeth; avulsed primary tooth should not be re-planted (to avoid damage to the permanent dental crypt). [16] Although dentists advise that the best treatment for an avulsed tooth is immediate replantation, [17] [18] for a variety of reasons this can be difficult for the ...
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 ...
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 ...
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.
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]
Deformity in the face, for example a sunken cheekbone or teeth which do not align properly, suggests the presence of fractures. Asymmetry can suggest facial fractures or damage to nerves. [3] People with mandibular fractures often have pain and difficulty opening their mouths and may have numbness in the lip and chin. [4]
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.