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Barayan
Definition :
Injury which is limited to the teeth
and supporting structures of the
alveolus.
N.B Boys are three times more
at risk than girls.
Causes :
1- Traffic Accident.
2- Falls.
3- During Epileptic seizures.
4- Sport injuries.
Diagnosis
Clinical
History Radiographic
examination Vitality test
Examination
1) Personal history
2) medical history
3) Previous dental history
4) History of trauma (when ,how ,where )
1) When did the accident occur ?
The shorter the time between accident and
treatment the better prognosis.
Intraoral Examination
Soft tissue ( tongue ; gingiva .. )
Teeth ( displacement ; mobility ; tooth fracture ;
colour change )
Vitality test just following traumatic injury
often given false negative response
Types of vitality test
1) Thermal pulp test
cold test
heat test
• treatment of V R F :
1)extraction of the tooth
2)using co2 laser and ND:YAG laser beam
* Concussion
A) primary tooth:
will re-erupted over a period of few
months. If the intruded tooth is in contact
with underlying permanent tooth should
be remove
B) permanent tooth:
• a) immediate surgical repositioning ,
splinting
• b) orthodontic extrusion
• c) incomplete root formation the tooth
will erupt spontaneously
2) Extrusion :
B) permanent tooth :
• reposition and splinting
• If the vitality of tooth is lost start root treatment
immediately placing calcium
• hydroxide in the canal for 6-12 month followed
permanent filling.
3) Avulsion:
• Complete displacement of the tooth
from the socket .