Extrusive Luxation and Lateral Luxation
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Management of Dental Trauma in a Primary Care Setting Abstract
Guidance for the Clinician in Rendering Pediatric Care CLINICAL REPORT Management of Dental Trauma in a Primary Care Setting Martha Ann Keels, DDS, PhD, and THE SECTION ON ORAL abstract HEALTH The American Academy of Pediatrics and its Section on Oral Health have KEY WORDS developed this clinical report for pediatricians and primary care physi- dental trauma, dental injury, tooth, teeth, dentist, pediatrician cians regarding the diagnosis, evaluation, and management of dental ABBREVIATION trauma in children aged 1 to 21 years. This report was developed CT—computed tomography through a comprehensive search and analysis of the medical and den- This document is copyrighted and is property of the American tal literature and expert consensus. Guidelines published and updated Academy of Pediatrics and its Board of Directors. All authors have filed conflict of interest statements with the American by the International Association of Dental Traumatology (www.dental- Academy of Pediatrics. Any conflicts have been resolved through traumaguide.com) are an excellent resource for both dental and non- a process approved by the Board of Directors. The American dental health care providers. Pediatrics 2014;133:e466–e476 Academy of Pediatrics has neither solicited nor accepted any commercial involvement in the development of the content of this publication. The guidance in this report does not indicate an exclusive INTRODUCTION course of treatment or serve as a standard of medical care. Variations, taking into account individual circumstances, may be By 14 years of age, 30% of children have experienced a dental injury.1 appropriate. Many of these children are taken directly to their medical home, an urgent care center, or an emergency department for evaluation and treatment. -
Saving Smiles Avulsion Pathway (Page 20) Saving Smiles: Fractures and Displacements (Page 22)
Greater Manchester Local Dental Network SavingSmiles Improving outcomes following dental trauma First Edition I Spring 2017 Practitioners’ Toolkit Contents 04 Introduction to the toolkit from the GM Trauma Network 06 History & examination 10 Maxillo-facial considerations 12 Classification of dento-alveolar injuries 16 The paediatric patient 18 Splinting 20 The AVULSED Tooth 22 The BROKEN Tooth 23 Managing injuries with delayed presentation SavingSmiles 24 Follow up Improving outcomes 26 Long term consequences following dental trauma 28 Armamentarium 29 When to refer 30 Non-accidental injury 31 What should I do if I suspect dental neglect or abuse? 34 www.dentaltrauma.co.uk 35 Additional reference material 36 Dental trauma history sheet 38 Avulsion pathways 39 Fractues and displacement pathway 40 Fractures and displacements in the primary dentition 41 Acknowledgements SavingSmiles Improving outcomes following dental trauma Ambition for Greater Manchester Introduction to the Toolkit from The GM Trauma Network wish to work with our colleagues to ensure that: the GM Trauma Network • All clinicians in GM have the confidence and knowledge to provide a timely and effective first line response to dental trauma. • All clinicians are aware of the need for close monitoring of patients following trauma, and when to refer. The Greater Manchester Local Dental Network (GM LDN) has established a ‘Trauma Network’ sub-group. The • All settings have the equipment described within the ‘armamentarium’ section of this booklet to support optimal treatment. Trauma Network was established to support a safer, faster, better first response to dental trauma and follow up care across GM. The group includes members representing general dental practitioners, commissioners, To support GM practitioners in achieving this ambition, we will be working with Health Education England to provide training days and specialists in restorative and paediatric dentistry, and dental public health. -
Journal 2017
Journal of ENT masterclass ISSN 2047-959X Journal of ENT MASTERCLASS® Year Book 2017 Volume 10 Number 1 YEAR BOOK 2017 VOLUME 10 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Volume 10 Issue 1 December 2017 Contents Free Courses for Trainees, Consultants, SAS grades, GPs & Nurses Welcome Message 3 CALENDER OF FREE RESOURCES 2018-19 Hesham Saleh Increased seats for specialist registrars & exam candidates ENT aspects of cystic fibrosis management 4 Gary J Connett ® 15th Annual International ENT Masterclass Paediatric swallowing disorders 8 Venue: Doncaster Royal Infirmary, 25-27th January 2019 Hayley Herbert and Shyan Vijayasekaran Special viva sessions for exam candidates Paediatric tongue-tie 14 Steven Frampton, Ciba Paul, Andrea Burgess and Hasnaa Ismail-Koch rd ® 3 ENT Masterclass China Paediatric oesophageal foreign bodies 20 Beijing, China, 12-13th May 2018 Emily Lowe, Jessica Chapman, Ori Ron and Michael Stanton Biofilms in paediatric otorhinolaryngology 26 3rd ENT Masterclass® Europe S Goldie, H Ismail-Koch, P.G. Harries and R J Salib Berlin, Germany, 14-15th Sept 2018 Intracranial complications of ear, nose and throat infections in childhood 34 Alice Lording, Sanjay Patel and Andrea Whitney ® ENT Masterclass Switzerland The superior canal dehiscence syndrome 41 Lausanne, 5-6th Oct 2018 Simon Richard Mackenzie Freeman Tympanosclerosis 46 ® ENT Masterclass Sri Lanka Priya Achar and Harry Powell Colombo, 16-17th Nov 2018 Endoscopic ear surgery 49 Carolina Wuesthoff, Nicholas Jufas and Nirmal Patel o Limited places, on first come basis. Early applications advised. o Masterclass lectures, Panel discussions, Clinical Grand Rounds Vestibular function testing 57 o Oncology, Plastics, Pathology, Radiology, Audiology, Medico-legal Karen Lindley and Charlie Huins Auditory brainstem implantation 63 Website: www.entmasterclass.com Harry R F Powell and Shakeel S Saeed CYBER TEXTBOOK on operative surgery, Journal of ENT Masterclass®, Surgical management of temporal bone meningo-encephalocoele and CSF leaks 69 Application forms Mr. -
Clinical Excellence Series Volume V an Evidence-Based Approach to Traumatic Emergencies
Clinical Excellence Series n Volume V An Evidence-Based Approach To Traumatic Emergencies Inside Neck Trauma: Don’t Put Your Neck On The Line Orthopedic Sports Injuries: Off The Sidelines And Into The Emergency Department Blunt Abdominal Trauma: Priorities, Procedures, And Pragmatic Thinking Wrist Injuries: Emergency Imaging And Management Brought to you exclusively by the publisher of: An Evidence-Based Approach To Traumatic Emergencies CEO: Robert Williford President & Publisher: Stephanie Ivy Associate Editor & CME Director: Jennifer Pai • Associate Editor: Dorothy Whisenhunt Director of Member Services: Liz Alvarez • Marketing & Customer Service Coordinator: Robin Williford Direct all questions to EB Medicine: 1-800-249-5770 • Fax: 1-770-500-1316 • Non-U.S. subscribers, call: 1-678-366-7933 EB Medicine • 5550 Triangle Pkwy Ste 150 • Norcross, GA 30092 E-mail: [email protected] • Web Site: www.ebmedicine.net The Emergency Medicine Practice Clinical Excellence Series, Volume V: An Evidence-Based Approach To Traumatic Emergencies is published by EB Practice, LLC, 5550 Triangle Pkwy Ste 150, Norcross, GA 30092. Opinions expressed are not necessarily those of this publication. Mention of products or services does not constitute endorsement. This publication is intended as a general guide and is intended to supplement, rather than substitute, professional judgment. It covers a highly technical and complex subject and should not be used for making specific medical decisions. The materials contained herein are not intended to establish policy, procedure, or standard of care. Emergency Medicine Practice, The Emergency Medicine Practice Clinical Excel- lence Series, and An Evidence-Based Approach to Traumatic Emergencies are trademarks of EB Practice, LLC. -
Broken Bones: Common Pediatric Lower Extremity Fractures—Part III
10173-06_ON2506-Hart.qxd 11/9/06 3:51 PM Page 390 Broken Bones: Common Pediatric Lower Extremity Fractures—Part III Erin S. Hart ▼ Brenda Luther ▼ Brian E. Grottkau Lower extremity injuries and fractures occur frequently in young usually have pain with hamstring stretching and hip flex- children and adolescents. Nurses are often one of the first ion/abduction). Patients also frequently demonstrate an healthcare providers to assess a child with an injury or fracture. antalgic gait and have pain during their activity or sport. Although basic fracture care and principles can be applied, An anteroposterior radiograph of the pelvis usually reveals nurses caring for these young patients must have a good under- the avulsed fragment. Comparative views of the contralat- standing of normal bone growth and development as well as eral side are often helpful in confirming the diagnosis and avoiding further unnecessary advanced imaging studies. common mechanisms of injury and fracture patterns seen in This injury is usually treated symptomatically and often children. Similar to many of the injuries in the upper extremity, involves rest, application of ice, and relaxation of the in- fractures in the lower extremity in children often can be treated volved tendon (O’Kane, 1999). Conservative treatment of nonoperatively with closed reduction and casting. However, this pelvic avulsion fractures is usually successful. Crutches are article will also review several lower extremity fractures that often needed for several weeks to reduce symptoms and frequently require surgical intervention to obtain a precise rest the extremity involved. Complications following pelvic anatomical reduction. Common mechanisms of injury, fracture avulsion fractures in children are rare, and most patients patterns, and current management techniques will be discussed. -
Pulp Canal Obliteration After Traumatic Injuries in Permanent Teeth – Scientific Fact Or Fiction?
CRITICAL REVIEW Endodontic Therapy Pulp canal obliteration after traumatic injuries in permanent teeth – scientific fact or fiction? Juliana Vilela BASTOS(a) Abstract: Pulp canal obliteration (PCO) is a frequent finding associated (b) Maria Ilma de Souza CÔRTES with pulpal revascularization after luxation injuries of young permanent teeth. The underlying mechanisms of PCO are still unclear, (a) Universidade Federal de Minas Gerais - and no experimental scientific evidence is available, except the results UFMG, School of Dentistry, Department of Restorative Dentistry, Belo Horizonte, MG, of a single histopathological study. The lack of sound knowledge Brazil. concerning this process gives rise to controversies, including the (b) Pontifícia Universidade Católica de Minas most suitable denomination. More than a mere semantic question, Gerais – PUC-MG, Department of Dentistry, the denomination is an important issue, because it reflects the nature Belo Horizonte, MG, Brazil. of this process, and directly impacts the treatment plan decision. The hypothesis that accelerated dentin deposition is related to the loss of neural control over odontoblastic secretory activity is well accepted, but demands further supportive studies. PCO is seen radiographically as a rapid narrowing of pulp canal space, whereas common clinical features are yellow crown discoloration and a lower or non-response to sensibility tests. Late development of pulp necrosis and periapical disease are rare complications after PCO, rendering prophylactic endodontic intervention -
Pulp Canal Obliteration- a Daunting Clinical Challenge
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 19, Issue 3 Ser.16 (March. 2020), PP 56-60 www.iosrjournals.org Pulp Canal Obliteration- A Daunting Clinical Challenge Ashish Jain1, P Shanti Priya2, Ronald Tejpaul3, Basa Srinivas Karteek4 1(Reader, Department of Conservative dentistry and Endodontics, PanineeyaInstitute of Dental Sciences, India) 2(Senior lecturer, Department of Conservative dentistry and Endodontics, Panineeya Institute of Dental Sciences, India) 3 (Senior lecturer, Department of Conservative dentistry and Endodontics, Oxford Dental College, India) 4(Senior lecturer, Department of Conservative dentistry and Endodontics, Panineeya Institute of Dental Sciences, India) Abstract: Traumatic injuries of primary or permanent dentition can lead to certain clinical complications and its management presents a considerable challenge for apractitioner. Pulp canal obliteration (PCO) also called as calcific metamorphosis (CM) following dental trauma has been stated to be approximately 37 - 40% and commonly noticed after luxation injuries. The diagnostic status and treatment planning decision regarding PCO always remains controversial. The decision on when to start treatment of such cases, whether on early detection of PCO or to wait until detection of signs and symptoms of pulp necrosis, always remains a clinical dilemma. Following calcific metamorphosis, scouting for the canals and negotiating it to full working length may lead to iatrogenic errors such as perforations or instrument separation. This article emphasizes on protocols to be followed on diagnosing and treating PCO and challenges that are to be encountered while managing these cases.Thorough knowledge of tooth morphology, skill, patience, use of appropriate instruments and materials are essential to successfully manage such cases. -
Veterinary Dentist at Work (VDAW) Index Chronological March 1996 Through Sept 2020
Veterinary Dentist At Work (VDAW) Index Chronological March 1996 through Sept 2020 1996 Vol. 13 No. 1 • Impacted mandibular canine tooth in a dog • Compound odontoma of a maxillary fourth premolar tooth in a dog 1996 Vol. 13 No. 2 • Incisor teeth radiographs in horses • Subcoronal tooth fracture in a dog 1996 Vol. 13 No. 3 • Orthodontic treatment – care is needed during removal of appliances • CT scans of canine molar teeth and salivary glands. 1996 Vol. 13 No. 4 • Endodontic treatment of a sun bear 1997 Vol. 14 No. 1 • Occupational hazard – dermatitis caused by benzoyl peroxide in chemical cured acrylics. 1997 Vol. 14 No. 2 • Interdental wiring and stainless steel arch repair of avulsed mandibular and maxillary incisors in a racehorse. Paul Orsini 1997 Vol. 14 No. 3 • Anomalous extra canine tooth in a cat. Frank Verstraete 1997 Vol. 14 No. 4 • Complex odontoma with necrosis in a dog. Frank Verstraete 1998 Vol. 15 No. 1 • Dental anomaly in a horse – supernumerary cheek tooth. Zack Matzkin • Cat with malpositioned canine tooth tongue trapping. Andries Van Foreest • Dog with lingual papillomatosis. Jeffrey Rhody 1 1998 Vol. 15 No. 2 • Yorkshire terrier with severe periodontal disease. William Rosenblad • Alveolar osteitis post extraction mandibular canine in a cat. Suzy Aller 1998 Vol. 15 No. 3 • Root abscess in an aardvark. 1998 Vol. 15 No. 4 • Fabrication of a veterinary dental teaching model. Ronald Southerland 1999 Vol. 16 No. 1 • Fabrication of a labial maxillary arch bar. Peak, Lobprise, Wiggs • Labial avulsion repair in a cat and a dog. Zlatko Pavlica • TMJ luxation in a rabbit. -
Treatment of Large Avulsion Injury in Perianal, Sacral, and Perineal
Hu et al. BMC Surgery (2019) 19:65 https://doi.org/10.1186/s12893-019-0529-1 RESEARCH ARTICLE Open Access Treatment of large avulsion injury in perianal, sacral, and perineal regions by island flaps or skin graft combined with vacuum assisted closure Fu Xing Hu1†, Xiao Xuan Hu2†, Xue Lin Yang1, Xing Hai Han1, Yong Bo Xu3, Kun Li3, Li Yan3*† and Hai Bo Chu3*† Abstract Background: Traumatic avulsion injuries to the anus, although uncommon, can result in serious complications and even death. Management of anal avulsion injuries remains controversial and challenging. This study aimed to investigate the clinical effects of treating large skin and subcutaneous tissue avulsion injuries in the perianal, sacral, and perineal regions with island flaps or skin graft combined with vacuum assisted closure. Methods: Island flaps or skin graft combined with vacuum assisted closure, diverting ileostomy, the rectum packed with double-lumen tubes around Vaseline gauze, negative pressure drainage with continuous distal washing, wounds with skin grafting as well as specialized treatment were performed. Results: The injuries healed in all patients. Six cases had incomplete perianal avulsion without wound infection. Wound infection was seen in four cases with annular perianal avulsion and was controlled, and the separated prowl lacuna was closed. The survival rate in 10 patients who underwent skin grafting was higher than 90%. No anal stenosis was observed after surgery, and ileostomy closure was performed at 3 months (six cases) and 6 months (four cases) after surgery, respectively. Conclusions: Covering a wound with an island flap or skin graft combined with vacuum assisted closure is successful in solving technical problems, protects the function of the anus and rapidly seals the wound at the same time. -
University of Oslo Faculty of Dentistry
UNIVERSITY OF OSLO FACULTY OF DENTISTRY Department of Endodontics Postgraduate Program in Endodontics Case Book Trude Handal Autumn Semester 2014 1 Table of contents Endodontic treatment guidelines ............................................................................................... 1 Non-surgical cases Case 1 ............................................................................................................................................................... 6 Endodontic treatment of the mandibular right second molar with irreversible pulpitis and cracked tooth syndrome Case 2 ............................................................................................................................................................ 12 Endodontic treatment of the mandibular right second molar with irreversible pulpitits and iatrogenic furcal perforation Case 3 ............................................................................................................................................................ 17 Endodontic treatment of a mandibular right first incisor in a patient with DiGeorge Syndrome (velo-cardio-facial-syndrome) Case 4 ............................................................................................................................................................ 22 Endodontic retreatment of the maxillary right second molar Case 5 ........................................................................................................................................................... -
1 – Pathogenesis of Pulp and Periapical Diseases
1 Pathogenesis of Pulp and Periapical Diseases CHRISTINE SEDGLEY, RENATO SILVA, AND ASHRAF F. FOUAD CHAPTER OUTLINE Histology and Physiology of Normal Dental Pulp, 1 Normal Pulp, 11 Etiology of Pulpal and Periapical Diseases, 2 Reversible Pulpitis, 11 Microbiology of Root Canal Infections, 5 Irreversible Pulpitis, 11 Endodontic Infections Are Biofilm Infections, 5 Pulp Necrosis, 12 The Microbiome of Endodontic Infections, 6 Clinical Classification of Periapical (Apical) Conditions, 13 Pulpal Diseases, 8 Nonendodontic Pathosis, 15 LEARNING OBJECTIVES After reading this chapter, the student should be able to: 6. Describe the histopathological diagnoses of periapical lesions of 1. Describe the histology and physiology of the normal dental pulpal origin. pulp. 7. Identify clinical signs and symptoms of acute apical periodon- 2. Identify etiologic factors causing pulp inflammation. titis, chronic apical periodontitis, acute and chronic apical 3. Describe the routes of entry of microorganisms to the pulp and abscesses, and condensing osteitis. periapical tissues. 8. Discuss the role of residual microorganisms and host response 4. Classify pulpal diseases and their clinical features. in the outcome of endodontic treatment. 5. Describe the clinical consequences of the spread of pulpal 9. Describe the steps involved in repair of periapical pathosis after inflammation into periapical tissues. successful root canal treatment. palisading layer that lines the walls of the pulp space, and their Histology and Physiology of Normal Dental tubules extend about two thirds of the length of the dentinal Pulp tubules. The tubules are larger at a young age and eventually become more sclerotic as the peritubular dentin becomes thicker. The dental pulp is a unique connective tissue with vascular, lym- The odontoblasts are primarily involved in production of mineral- phatic, and nervous elements that originates from neural crest ized dentin. -
Wednesday Slide Conference 2008-2009
PROCEEDINGS DEPARTMENT OF VETERINARY PATHOLOGY WEDNESDAY SLIDE CONFERENCE 2008-2009 ARMED FORCES INSTITUTE OF PATHOLOGY WASHINGTON, D.C. 20306-6000 2009 ML2009 Armed Forces Institute of Pathology Department of Veterinary Pathology WEDNESDAY SLIDE CONFERENCE 2008-2009 100 Cases 100 Histopathology Slides 249 Images PROCEEDINGS PREPARED BY: Todd Bell, DVM Chief Editor: Todd O. Johnson, DVM, Diplomate ACVP Copy Editor: Sean Hahn Layout and Copy Editor: Fran Card WSC Online Management and Design Scott Shaffer ARMED FORCES INSTITUTE OF PATHOLOGY Washington, D.C. 20306-6000 2009 ML2009 i PREFACE The Armed Forces Institute of Pathology, Department of Veterinary Pathology has conducted a weekly slide conference during the resident training year since 12 November 1953. This ever- changing educational endeavor has evolved into the annual Wednesday Slide Conference program in which cases are presented on 25 Wednesdays throughout the academic year and distributed to 135 contributing military and civilian institutions from around the world. Many of these institutions provide structured veterinary pathology resident training programs. During the course of the training year, histopathology slides, digital images, and histories from selected cases are distributed to the participating institutions and to the Department of Veterinary Pathology at the AFIP. Following the conferences, the case diagnoses, comments, and reference listings are posted online to all participants. This study set has been assembled in an effort to make Wednesday Slide Conference materials available to a wider circle of interested pathologists and scientists, and to further the education of veterinary pathologists and residents-in-training. The number of histopathology slides that can be reproduced from smaller lesions requires us to limit the number of participating institutions.