Skip to main content

Dental Trauma

Summer Chavez, MPM, MPH, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

Loss or fracture of a tooth and/or supporting bone and tissue due to trauma 

EPIDEMIOLOGY

  • Dental injuries constitute 5% of all injuries worldwide and as many as 17% in preschool childr...

DIAGNOSIS

HISTORY

  • Assess airway, breathing, and circulation (ABC).

  • Determine mechanism of injury, time of injury, associated injuries.

  • Multiple fracture and luxation types that result in different healin...

TREATMENT

  • ABC and neurologic exam for associated problems

  • Consider use of ToothSOS application for rapid point-of-care decision support

GENERAL MEASURES

  • Primary goal of reimplantation/repositioning is to...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Follow up with dentist or oral surgeon within 24 hours of any dental trauma.

  • Restrict use of pacifiers if dental injuries are involved.

  • Ellis III fractures in child...

REFERENCES

1
Kenny  KP, Day  PF, Sharif  MO, et al. What are the important outcomes in traumatic dental injuries? An international approach to the development of a core outcome ...

ADDITIONAL READING

Duruk G, Gümüşboğa ZS. Effectiveness of the Tooth SOS App as a training tool for the emergency management of traumatic dental injuries among non-dentists. Denta...

CODES

ICD10

  • S02.5XXA Fracture of tooth (traumatic), init for clos fx

  • S02.5XXB Fracture of tooth (traumatic), init encntr for open fracture

  • K08.119 Complete loss of teeth due to trauma, unspecified class

  • S...

CLINICAL PEARLS

  • Do not reimplant primary teeth. Avulsed permanent teeth are a medical emergency. Reimplant permanent teeth ASAP.

  • Milk is the best (and most widely available) transport medium; Hank solu...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×