Category Archives: Soft Tissue and Dentoalveolar Injuries

Treatment of Dentoalveolar Injuries

Treatment of Dentoalveolar Injuries After conducting a thorough history and clinical and radiologic examinations, the dentist should he able to determine whether the treatment plan for the patient’s type of injury is WIthin the clinician’s range of expertise. There may be several circumstances tha t render an otherwise minor injury untreatable by the dentist alone. A problem the dentist frequently

Radiographic Examination

Radiographic Examination A host of radiographic techniques are available to evaluate dentoalveolar trauma. Most can be readily performed in the dental office with available equipment. Most commonly a combination of occlusal and periapical radiographs are used. The radiographic examination should provide the following information. 1. Presence of root fracture 2. Degree of extrusion or intrusion 3. Presence of p

Clinical Examination

Clinical Examination The clinical examination is perhaps the most important part of the diagnostic process. A thorough examination  of a patient who has had injury to the dentoalveolar structures should not focus only on that structure. Concomitant injuries may also be present; the history may direct the dentist to examine .other areas for signs of injury. Vital signs such as pulse rate, blood pressure, and r


History The first step in any diagnostic process should be to secure an accurate history. A comprehensive history of the injury should be obtained from the patient.Tncorporating information on who, when, where, and how. The dentist must ask the following questions to the patient, parent, or a reliable respondent. 1. Who is the patient? Included here should be the patient’s name, age, address, phone numbe


DENTOALVEOLAR INJURIES Dentoalveolar and perioral soft tissue injuries frequently occur and are caused by many types of trauma. The most common causes are falls, motor vehicle accidents, sports injuries, altercations, child abuse, and playground accidents. Falling causes many injuries, which starts when: a child begins to walk and peaks just before school age.’ The dentist is likely to be called by a fr


Laceration Alaceration is a tear in the epithelial and subepithelial tissues.lot is perhaps the most frequent type of soft tissue injury and is caused most commonly by a sharp object, such a~ a knife or a piece of glass. If the object is not sharp, the lacerations created may be jagged because the tissue is literally torn by the force of the blow (Fig. 23-3). As with abrasions tile depth (II .: l.u cr.n ion cau


Contusion A contusion is more commonly called a bruise and indicates that some amount of tissue disruption has occurred within the tissues, which resulted in subcutaneous or submucosal hemorrhage without a break in the soft tissue surface (Fig. 23-2). FIG. 23-3 The repair of a full-thickness laceration of the iower lip. A, Tissues have been cleaned andhemostasis obtained. B, Muscle has been closed with interrup


Abrasion An abrasion is a wound caused by friction between an object and the surface of the soft tissue, This wound is , usually superficial, denudes the epithelium, and occasionally involves deeper layers, Because abrasions involve the terminal endings of many nerve fibers, they are quite painful. Bleeding is usually minor, because it is capillary in nature and responds well to application of gentle pressure.


SOFT TISSUES INJURIES The types of soft tissue injuries the dentist may see in practice vary considerably, However, it is fair to assume that given the current availability of other health care providers, the dentist will probably not be involved in the management of severe soft tissue injuries around the face, Those seen with some frequency are the ones associated with concomitant dentoalveolar trauma or those tha

Soft Tissue and Dentoalveolar Injuries

Soft Tissue and Dentoalveolar Injuries CHAPTER OUTLINE SOFT TISSUE INJURIES Abrasion Contusion Laceration Cleansing of Wound Debridement of Wound Hemostasis in Wound Closure of Wound DENTOALVEOLAR INJURIES Management of Dentoalveolar Injuries History Clinical Examination Radiographic Examination Classification of Traumatic Injuries to the Teeth and Supporting Structures Treatment of Dentoalveolar Injuries Crown Cr