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Dental Trauma, Pediatric

Ray J. Jurado, DDS Reviewed 10/2018
 


BASICS

DESCRIPTION

Dental trauma is defined as fractured, displaced, or lost primary or permanent teeth. 

EPIDEMIOLOGY

  • 30% of children suffer from traumatic dental injuries to the primary dentition, with...

DIAGNOSIS

HISTORY

  • Medical history

    • Family history of bleeding disorders

    • History of drug allergies

  • Where did the injury occur?

    • Possible contamination

    • Assess need for tetanus prophylaxis.

  • How did the injury occ...

TREATMENT

MEDICATION

  • Acetaminophen for pain management

  • Consider antibiotic therapy for severe injuries in cases of infection risk (subacute bacterial endocarditis [SBE] risk, immunosuppression, etc.).

ADDITIONAL THERAPIES

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • For most dental traumas, the child should be seen by a pediatric dentist as soon as possible for immediate assessment and treatment to optimize prognosis. Regular...

ADDITIONAL READING

CODES

ICD9

  • 873.63 Open wound of tooth (broken) (fractured) (due to trauma), without mention of complication

  • 873.73 Open wound of tooth (broken) (fractured) (due to trauma), complicated

  • 525.10 Acquired ab...

FAQ

  • Q: Why not reposition or reimplant primary teeth?

  • A: The treatment strategy in primary teeth trauma is dictated by the concern for the safety of the permanent tooth bud. If the displaced primary to...

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