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Treatment Options (Endo (Trauma (Avulsion (Dependents: Time out of socket,…
Treatment Options
Endo
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Splinting
- Semi-rigid (Luxatemp; Composite + Nylon wire)
- Rigid (Composite alone; Composite + Orthowire
Trauma
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Root Fractures
1.) VRF = Extraction
2.) C/H RF = crown lengthening, Ortho extrusion or Exo
3.) RCT to the fracture line w/ MTA (3-4 mm) then w/ GIC/Comp
Concussion
1.) REVIEW!! ... 6wks ... 1 Year
(Do not RCT concussed teeth even if they do not respond to test)
2.) Non-rigid Splint for 2wks
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Avulsion
Dependents: Time out of socket, storage media
1) Replant (ASAP, minimize dry time)
nb: primary teeth are not replanted due to possible damage to successive pernament
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Review replanted tooth:
- Closed Apex = Functional splint 2wks and RCT 10 days w/ dressings 1month
- Open Apex = Review, if vitality does not return then RCT after 3months
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Restorative: INDIRECT
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Post/Core Abutments
Prefabricated:
Stainless Steel, Ti, Gold Alloy
Fabricated:
Cast metal
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