口腔内科学1031（Oral medicine, 1031）.docVIP

口腔内科学1031（Oral medicine, 1031） Concussion of teeth (I) definition When a tooth is injured, the slight damage of the periodontal membrane is called tooth concussion, also known as contusion of tooth or traumatic periapical membrane inflammation. Dental shock can also be caused by minor external forces, such as sudden mastication of hard material during eating. (two) clinical manifestation 1. suffer from slight aching sensation of teeth and teeth, and may have some sensitive symptoms to cold stimulation. 2. crown complete, usually without tooth tissue defect. 3. slightly loose or not loose, no shift. Vertical or horizontal percussion pain (+) to + (+). There is also a small amount of bleeding on the gingival margin. Periodontal ligament injury. 4. temperature test as a sensitive symptoms, if the pulp vitality test, no response is not sensitive to a little. 5. X ray showed normal or enlarged periodontal membrane. (three) diagnosis Diagnosis can be made based on history of trauma and clinical presentation. Because any type of dental trauma, dental pulp are subject to different degrees of damage, so the immediate treatment of the pulp status check does not necessarily make a diagnosis, but should record the inspection results, in order to observe the changes of dental pulp injury and repair. (four) treatment; 1.1 to 2 weeks should cause the teeth to rest. If necessary, lower the bite to relieve the bite force of the teeth. 2. L, 3, 6, and 12 months after injury should be reviewed regularly. Observation of L years later, if the crown does not change, the pulp vitality test is normal, can not be treated; if there are signs of pulp necrosis, should be further root canal therapy. It must be kept in mind that in young permanent teeth, their vitality can be lost only after L years of injury. Two, tooth fracture (I) definition The fracture of the crown or tooth caused by the direct impact of the external force is called the fracture of the tooth. The fracture of teeth can happe