Friday, June 12, 2015

Medical history



                   Medical history:
*      Congenital heart disease.
*      Bleeding disorder.
*      DM.
*      Epilepsy.
*      Current medication.
*      Tetanus.
*      Allergic reaction to any medication.

                   Clinical examination:
*   Extra-oral:
             Swelling , Laceration, Haemorrhage , TMJ.
*   Intra-oral:
.  Injury to alveolar bone & supporting structure.
.  Occlusal abnormality.
.  Fracture crown.
.  Mobility.
                        .  Discoloration of tooth.
.  Reaction to sensitivity (vital test).
.  Pocket depth( Around injured tooth).

Avulsion: It is defined as complete displacement of the tooth out of the socket.

v    Incedence:  0.5-16% in permanent dentition.
          7-13% in primary dentition.
v   General prognosis:
            Prognosis of permanent dentition is primarily depend upon formation of root development( open/close) & extra oral dry time. The tooth has best prognosis of replanted immediately . If the tooth is not replanted within 5 minutes, it should be preserved in a medium that helps to maintain the vitality of periodontal ligament & fiber.

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