Podcast #43: Dental Injuries

Run Time: 7 minutesusnotation

Author: Dr. Eric Miller

Educational Pearls:

  • There are three types of dental fractures or Ellis fractures. Ellis I is through the enamel, Ellis II is into the dentin, and Ellis III is into the nerve pulp of the tooth.
  • For fractures, any bleeding should be controlled and the tooth should be completely dried out before calcium hydroxide can be placed on the tooth as a hardened cover.
  • For a tooth avulsion, the tooth should be placed in milk or normal saline initially. You should not clean or scrub the ligaments on the bottom of the tooth and the tooth should be handled by the crown only. The tooth should then be replaced within 15-20 minutes for best results of re-implantation.
  • There are 5 million tooth avulsions per year.

Link to Podcast: http://medicalminute.madewithopinion.com/dental-injuries/

References: http://www.ncbi.nlm.nih.gov/pubmed/7890110

http://emedicine.medscape.com/article/763458-clinical

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