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INJURIES TO THE
PRIMARY
DENTITION
DEFINITION:
Age distribution:
child in the age group 2-4 years
school going child in the age group 8-11 years
Sex:
boys- 31-40%
girls-16-30%
Teeth involved:
upper central incisor-37%
lower central incisor-18%
lower lateral incisors-6%
upper central incisors-3%
Seasonal variation:
frequency of injuries increase during
the winter
etiology
• fall-running,bicycle
• accident
• sports
DIFFERENT TYPES TRAUMATIC
INJURIES IN PRIMARY DENTITION
ENAMEL FRACTURE
INVOLVING THE
MAXILLARY RIGHT
INCISOR.
ENAMEL FRACTURE
INVOLVING MESIAL
ASPECT OF RIGHT CI
& MORE DAMAGETO
LEFT CI
FRACTURE INVOLVING ENAMEL , DENTIN IN
LEFT CI
CORONAL
FRACTURE IN LEFT
CI INVOLVING
ENAMEL , DENTIN ,
& PULP
DISPLACEMENT OF
THE TOOTH
WITHOUT
FRACTURE OF THE
CROWN & ROOT IN
LEFT CI
TRAUMATIZED TOOTH
THAT BECOME NON –
VITAL THAT WITH OR
WITHOUT LOSS OF
CROWN STRUCTURE IN
RIGHT CI
TOOOTH LOST AS
A RESULT OF
TRAUMA IN RIGHT
CI
FRACTURE OF THE
ROOT
LUXATION INJURIES
LUXATION :
It is the dislocation or
disarticulation of teeth which are
abnormally mobile and displaced
there may be a partial or complete
necrosis of the pulp.
CONCUSSION : It is a minor injury with minimal injury to
the tooth & periodontal tissue.
Clinical features :
pain
Examination :
sensitive to both horizontal vertical percussion.
sensitive to biting forces.
Radiographic features :
mobility
bleeding from gingival cravice
Sensitive to the percussion & biting forces
Radiographic features :
• MEDICAL HISTORY
• EXAMINATION
EXAMINATION:
RADIOGRAPHIC EVALUATION-
INTRAORAL RADIOGRAPH
EXTRAORAL RADIOGRAPH:
ORTHOPANTOGRM (OPG)
VITALITY TEST:
»
SPECIAL TEST: