AAPD Trauma Guidelines
primary tooth enamel fx - rad and tx - answer no rad
smooth out sharp corners if possible
primary tooth enamel dentin fx - rad and tx - answer take baseline rad
place GI
primary tooth - enamel dentin pulp fx - rad and tx - answer baseline rad
pulpotomy
primary tooth crown root fx - rad and tx - answer 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 - rad and tx - answer take baseline
rad
no tx
primary tooth root fx: displaced and not overly mobile and no occlusal interference -
answertake baseline rad
allow to spontaneously reposition
primary tooth root fx: displaced, excessively mobile, occlusal interference -
answerbaseline rad
option a: ext mobile piece
options b: splint for 4 wks
primary alveolar fx - answerreposition and splint with flexible splint for 4wks
primary tooth concussion - answerno rad and no tx
primary tooth subluxation - answerbaseline rad, no tx
primary tooth extrusion - not interfering with occlusion - answerbaseline rad, no tx and
let the tooth spontaneously reposition itself
primary tooth extrusion - interfering with occlusion and >3mm out of socket -
answerbaseline rad and ext
primary tooth lateral luxation - not interfering with occlusion - answerbaseline rad and
allow to spontaneous reposition (6mo)
primary tooth enamel fx - rad and tx - answer no rad
smooth out sharp corners if possible
primary tooth enamel dentin fx - rad and tx - answer take baseline rad
place GI
primary tooth - enamel dentin pulp fx - rad and tx - answer baseline rad
pulpotomy
primary tooth crown root fx - rad and tx - answer 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 - rad and tx - answer take baseline
rad
no tx
primary tooth root fx: displaced and not overly mobile and no occlusal interference -
answertake baseline rad
allow to spontaneously reposition
primary tooth root fx: displaced, excessively mobile, occlusal interference -
answerbaseline rad
option a: ext mobile piece
options b: splint for 4 wks
primary alveolar fx - answerreposition and splint with flexible splint for 4wks
primary tooth concussion - answerno rad and no tx
primary tooth subluxation - answerbaseline rad, no tx
primary tooth extrusion - not interfering with occlusion - answerbaseline rad, no tx and
let the tooth spontaneously reposition itself
primary tooth extrusion - interfering with occlusion and >3mm out of socket -
answerbaseline rad and ext
primary tooth lateral luxation - not interfering with occlusion - answerbaseline rad and
allow to spontaneous reposition (6mo)