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Dentoalveolar Trauma, Sports Medicine

Christopher Bossart, MD and Christopher McGrew, MD, FACSM, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

Dentoalveolar injuries include dental avulsion, dental luxation, extrusion and intrusion, enamel and crown fractures, root fracture, and alveolar bone fracture. 

EPIDEMIOLOGY

  • 25% of al...

DIAGNOSIS

Suspicions for dental trauma: 
  • Impact to jaw, face, or any part of skull or neck leaving bruising or ecchymosis, diffuse or focal

  • Facial swelling, bleeding from mouth or gums

  • Patient complains ...

TREATMENT

  • Treatment depends on rapid identification of injury type.

  • Initial stabilization:

    • Establish airway, breathing, and circulation.

    • Control soft tissue bleeding: pressure from gauze, fabric, or any ...

ONGOING CARE

  • Tooth avulsion:

    • Endodontic treatment is usually required at 1 to 2 wk in teeth with a closed apex (after pulpal ischemic necrosis, before infection) to prevent periapical abscess formation...

REFERENCES

1
Ranalli DN. Sports dentistry and dental traumatology. Dent Traumatol.  2002;18:231–236.
2
Wright G, Bell A, McGlashan G, et al. Dentoalveolar trauma in Glasgow: an audit of mechanism of...

CLINICAL PEARLS

  • If the pulp becomes devitalized, the tooth will rapidly change color, along with associated symptoms. If root canal treatment is needed, a slight and gradual darkening may be noticed.

  • D...

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