By Gary F. Arnet, D.D.S.
Course Contents
1. The Dental-Trauma Patient
History
General
Medical
Dental
Clinical Examination
Extraoral Examination
Isolated-Root Fractures
Crown-Root Fractures
Definitive Treatment
Isolated-Root Fracture
Crown-Root Fractures
3. Displacement of Permanent Teeth
General Considerations
Neurovascular Injury and Pulpal Necrosis
Periodontal Ligament Injury and Resorption
Physiology of Tooth Injuries
Splinting Methods
Lateral Displacement (Luxation) of Permanent Teeth
Immediate Treatment
Definitive Treatment
Extrusion of Permanent Teeth
4. Injuries to Primary Teeth
General Considerations
History and Clinical Examination
Concussion and Subluxation
Crown Fractures
Displaced Primary Teeth
5. Acute-Temporomandibular- Joint Injuries
Traumatic-Posterior Capsulitis
Anterior Disc Dislocation Without Reduction
Sprained-Capsular Ligament
Dislocation of the Mandible
6. Soft-Tissue Lacerations
7. Alveolar Fractures
8. Mandible Fractures
Pain
Symphysis Fractures
Learning Objectives
After completing this course, you will be able to:o:
1. The Dental-Trauma Patient
Describe how to take a history and examine a patient with dental injuries.
Indicate what radiographs are useful in evaluating the dental-trauma patient.
2. Injuries to Permanent Teeth
Distinguish between different types of injuries to permanent teeth.
Describe various types of crown fractures.
Describe various types of root fractures, make a diagnosis and provide immediate and definitive treatment.
3. Displacement of Permanent Teeth
Discuss the pathophysiology of injuries to the teeth.
Provide treatment options for injuries to permanent teeth.
Describe the advantages of semirigid and rigid splinting techniques.
Explain how to monitor and treat pulpal complications of dental injuries.
Discuss how to monitor and treat root resorption caused by dental injuries.
Describe neurovascular injury and pulpal necrosis and periodontal ligament injury and resorption.
Describe lateral displacement (luxation) of permanent teeth, make a diagnosis, and provide immediate and definitive treatment.
Describe extrusion of permanent teeth, make a diagnosis, and provide immediate and definitive treatment.
Describe intrusion of permanent teeth, make a diagnosis, and provide immediate and definitive treatment.
Describe avulsion of permanent teeth, make a diagnosis, and provide immediate and definitive treatment.
4. Injuries to Primary Teeth
Explain the diagnosis and treatment options for injuries to primary teeth.
Describe concussion and subluxation of primary teeth, make a diagnosis and provide a treatment.
5. Acute-Temporomandibular-Joint Injuries
Describe the anatomy of the temporomandibular joint.
Differentiate between the four types of acute-temporomandibular-joint injuries.
Provide a treatment plan for acute injuries of the temporomandibular joint.
Make a diagnosis and provide treatment for traumatic-posterior capsulitis.
Describe anterior-disc dislocation without reduction, make a diagnosis, and provide a treatment.
Describe dislocation of the mandible, make a diagnosis, and provide a treatment.
6. Soft-Tissue Lacerations
List the advantages of various types of suture materials used to treat lacerations.
Describe the benefits and applications of absorbable and nonabsorbable sutures.
Provide the rationale and steps for suturing oral and facial lacerations.
Give an explanation of wound healing in soft-tissue lacerations.
7. Alveolar Fractures
Explain the diagnosis and treatment of alveolar fractures.
Take history, make a diagnosis, and provide treatment for alveolar fractures.
8. Mandible Fractures
Discuss the physiology of bone repair.
Identify various causes of mandible fractures.
Provide a classification of mandible fractures, by location, type of fracture, severity of fracture, and the direction or displacement of fracture.
Discuss the physiology of bone healing following a fracture of the mandible.
Provide an explanation for the symptoms of mandible fractures.
Differentiate between various types of mandible fractures.
List symptoms of patients who have sustained fractures of the mandible.
Make a diagnosis of specific fractures of the mandible.
Provide treatment for mandible fractures.
9. Midface Fractures
Describe three types of fractures of the maxilla, their diagnoses, and stabilization techniques for the patient.
Describe the fractures of the zygomatic complex, zygomatic arch and nasal bones.
List the clinical findings of fractures of the midface, zygoma, and nose.
10. Dental First Aid in the Field
Discuss methods of dental first aid in field conditions.
Give recommendations to patients about materials they should carry in a dental first- aid kit.
List at least 9 items that should be included in the dental first-aid kit.
Describe how certain dental emergencies in the field should be handled.
State the importance of being prepared for dental injuries and emergencies in the field.
Discuss emergency-field dentistry including proper
oral hygiene, toothache, dental abscess, lost restorations, injuries to teeth and facial fractures.
Learning Objectives
To assess the effectiveness of the course material, we ask that you evaluate your achievement of each learning objective on a scale of A to D (A=excellent, B=good, C=fair, D=unsatisfactory). Please indicate your responses next to each learning objective and return it to us with your completed exam.
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