51. Ellis Fracture 3
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Description
CLASS VII – LUXATION INTRUSION - Chances of cut-off of blood supply is seen in intrusion – in 6 months – revascularization should happen – therefore the wait & watch...
show moreINTRUSION - Chances of cut-off of blood supply is seen in intrusion – in 6 months – revascularization should happen – therefore the wait & watch scheme
a. PERMANENT
- Wait & watch for 6 months for natural extrusion / eruption
- If not orthodontic extrusion
b. PRIMARY
- Radiograph is must 1st
- If tooth is impinging underlying tooth follicle – Extract
- If no impingement – wait & watch for 6 months
- If impingement on follicle – leads to Turner’s Hypoplasia
- Never extract tooth normally – open flap, split the tooth, the extract
EXTRUSION / LATERAL LUXATION
- Replace into normal position
- Followed by flexible splinting for 2 weeks
SUBLUXATION
- Tooth that is mobile without displacement. Here tooth supporting structure is affected, hence the mobility.
- Place back into normal position
- Flexible splint for 2 weeks
- Wait & watch, then decide if RCT required
CLASS VIII – CROWN-EN-MASSE FRACTURE
- Treatment – RCT + Post & core build-up of crown
CLASS IX – PRIMARY TOOTH FRACTURE
- Avulsion in pedo
- Never place it back, Discard the tooth
- Give space maintainer if needed
Information
Author | DrMayakha Mariam |
Website | - |
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