AAPD Trauma Guidelines UPDATED ACTUAL Questions and
CORRECT Answers
primary tooth enamel fx - rad and tx no rad
smooth out sharp corners if possible
primary tooth enamel dentin fx - rad and tx take baseline rad
place GI
primary tooth - enamel dentin pulp fx - rad and tx baseline rad
pulpotomy
primary tooth crown root fx - rad and tx baseline rad
if restorable and no pulp - GI
if restorable and pulp - partial pulp
if non restorable - careful ext, if root is firm it can be left
primary tooth root fx: coronal segment not displaced - take baseline rad
rad and tx no tx
primary tooth root fx: displaced and not overly mobile take baseline rad
and no occlusal interference allow to spontaneously reposition
primary tooth root fx: displaced, excessively mobile, baseline rad
occlusal interference option a: ext mobile piece
options b: splint for 4 wks
primary alveolar fx reposition and splint with flexible splint for 4wks
primary tooth concussion no rad and no tx
primary tooth subluxation baseline rad, no tx
primary tooth extrusion - not interfering with occlusion baseline rad, no tx and let the tooth spontaneously reposition itself
primary tooth extrusion - interfering with occlusion and baseline rad and ext
>3mm out of socket
primary tooth lateral luxation - not interfering with baseline rad and allow to spontaneous reposition (6mo)
occlusion
primary tooth lateral luxation - interfering with occlusion baseline rad and two options
a. ext
b. repo, flexible splint for 4 wks
primary tooth intrusion - baseline rad
allow to spontaneously re-erupt 6-12 mo
primary tooth avulsion do not replant
CORRECT Answers
primary tooth enamel fx - rad and tx no rad
smooth out sharp corners if possible
primary tooth enamel dentin fx - rad and tx take baseline rad
place GI
primary tooth - enamel dentin pulp fx - rad and tx baseline rad
pulpotomy
primary tooth crown root fx - rad and tx baseline rad
if restorable and no pulp - GI
if restorable and pulp - partial pulp
if non restorable - careful ext, if root is firm it can be left
primary tooth root fx: coronal segment not displaced - take baseline rad
rad and tx no tx
primary tooth root fx: displaced and not overly mobile take baseline rad
and no occlusal interference allow to spontaneously reposition
primary tooth root fx: displaced, excessively mobile, baseline rad
occlusal interference option a: ext mobile piece
options b: splint for 4 wks
primary alveolar fx reposition and splint with flexible splint for 4wks
primary tooth concussion no rad and no tx
primary tooth subluxation baseline rad, no tx
primary tooth extrusion - not interfering with occlusion baseline rad, no tx and let the tooth spontaneously reposition itself
primary tooth extrusion - interfering with occlusion and baseline rad and ext
>3mm out of socket
primary tooth lateral luxation - not interfering with baseline rad and allow to spontaneous reposition (6mo)
occlusion
primary tooth lateral luxation - interfering with occlusion baseline rad and two options
a. ext
b. repo, flexible splint for 4 wks
primary tooth intrusion - baseline rad
allow to spontaneously re-erupt 6-12 mo
primary tooth avulsion do not replant
