Present a schedule for follow-up of patients who have sustained dental injuries

Present a schedule for follow-up of patients who have sustained dental injuriesPFa

OutlineAbbreviationsDefinitionsIntroduction Follow-up schedule for dental injuries Permanent teethFollow-up schedule for dental injuries Primary teethReferences

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AbbreviationsRCT = Root canal treatment2/13/20163

DefinitionsFollow-up - a further examination or observation of a patient in order to monitor the success of earlier treatment.

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Definitions continuedSchedule - a listof plannedactivitiesor things to be done showingthe timesor dateswhen they are intendedto happenor be done

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Definitions continued..Dental injuries - Dental traumarefers totrauma(injury) to the teeth and/orperiodontium(gums,periodontal ligament,alveolar bone), and nearbysoft tissuessuch as the lips, tongue, etc. The study of dental trauma is called dental traumatology.

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Introduction

Following up on patients who have undergone dental injuries is important as it may show healing progress or worsening of the situation which can therefore be dealt with by the dentist earlier rather than waiting until it is too late. 2/13/20167

Introduction continued

There are different time schedules for follow-up of each dental injury that depend upon the predicted time it takes for healing to take place, and for possible complications to take occur.

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Introduction continued

Adhering to these follow-up schedules can help to prevent any possible complications that could occur after a dental injury.

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Follow-up schedule for dental injuries of Permanent teethHard tooth structureSupporting structuresSupporting bone

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Enamel infractionNo follow-up needed unless associated with a luxation injury or other fracture types involving the same tooth2/13/201611

Enamel fractureFollow-up for clinical and radiographic control at 6-8 weeks and 1 year. 2/13/201612

Enamel-dentine fractureFollow up for clinical and radiographic control 6-8 weeks and 1 year2/13/201613

Enamel-dentine fracture with pulp involvementFollow-up for clinical and radiographic control at 6-8 weeks and 1 year.

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Crown root fracture with or without pulp exposure No follow upFollow up for prosthesis 2/13/201615

Root fractureFollow-up for splint removal, clinical and radiographic control after 4 weeks in apical third and mid root fracture.

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Root fracture continuedHowever if the root fracture is near cervical area the splint should be kept on for up to 4 months.Clinical and radiographic control after 6 to 8 weeksClinical and radiographic control after 6 months, 1 year and yearly for five years.2/13/201617

Root fracture continuedFollow up may include endodontic treatment of the coronal fragment of pulp necrosis develops.The decision for endodontic treatment may be taken after 3 months if the tooth does not still respond to electrometric or thermal pulp testing and if radiograph shows a radiolucency next to the fracture line.

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Supporting structures

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ConcussionFollow up clinical and radiographic control at 4 weeks, 6 to 8 weeks and 1 year.

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SubluxationFollow up for splint removal and radiographic control after 2 weeks.The clinical and radiographic control at 2 weeks, 4 weeks, 6 to 8 weeks and 1 year.

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ExtrusionFollow up for clinical and radiographic control and splint removal after two weeks.Clinical and radiographic control at 4 weeks, 6 to 8 weeks, 6 months, 1 year and yearly for five months.

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Lateral LuxationFollow up clinical and radiographic control after 2 weeks.Clinical and radiographic control and splint removal after 4 weeks.Clinical and radiographic control after 6 to 8 weeks, 6 months, 1 year and yearly for five years.2/13/201623

IntrusionClinical and radiographic control after 2 weeksSplint removal and radiographic control after 4 weeks, 6 to 8 weeks , 6 months, 1 year and yearly for five years.

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Avulsion - closed root apices RCT after 7-10 days after replantation.Splint removal and clinical and radiographic control after 2 weeks.Clinical and radiographic control after 4 weeks, 3 months, 6 months, 1 year, the yearly thereafter.2/13/201625

Avulsion root apices not closedAvoid RCT unless there is clinical or radiographic evidence of pulp necrosis.Splint removal, clinical and radiographic control after 2 weeks.Splint removal, clinical and radiographic control after 4 weeks, 3 months, 6 months, 1 year and yearly there after years.

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Supporting bone structures2/13/201627

Alveolar fracture and Jaw fracture

Splint removal and clinical and radiographic control after 4 weeks.Clinical and radiographic control after 6 to 8 weeks, 4 months , 6 months, 1 year, and yearly for five years.

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Follow-up for Primary teethHard tooth structuresSupporting structuresSupporting bone2/13/201629

Hard tooth structures2/13/201630

Enamel infraction and Enamel fractureNo follow-up needed unless associated with a luxation injury or other fracture types involving the same tooth.

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Enamel-dentine fractureClinical control at 3 to 4 weeks.

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Enamel-Dentine-Pulp fracture (complicated)

Follow up, clinical control after 1 week.Clinical and radiographic control after 6 to 8 weeks, and 1 year

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Crown-Root Fracture with or without pulp involvement In case of fragment removal only: Clinical control after 1 week,Clinical and radiographic control after 3-4 weeks.Clinical control after 1 year. In case of tooth extraction:Clinical and radiographic control at 1 year and every year until eruption of permanent successor.2/13/201634

Root fractureClinical control after 1 week.Clinical and radiographic control after 6-8 weeks and 1 year.In case of tooth extraction: clinical and radiographic control at 1 year and every year until eruption of the permanent successor.2/13/201635

Alveolar fractureClinical control after 1 weekClinical and radiographic control and splint removal after 3-4 weeksClinical and radiographic control after 6-8 weeks and 1 year and then yearly until exfoliation2/13/201636

References https://www.google.co.uk/search?site=&source=hp&q=follow-up&oq=follow-up&gs_l=hp.3..0l10.1671.3933.0.4209.9.8.0.1.1.0.456.829.3-1j1.2.0....0...1c.1.64.hp..6.3.833.XhU0bGMKvFkhttp://dictionary.cambridge.org/dictionary/english/schedule https://en.wikipedia.org/wiki/Dental_trauma http://www.dentaltraumaguide.org

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Thank you for listening questions, comments, concerns? 2/13/201638