Video.

Dental Trauma Mini-Course - Part 7 - Dental Trauma Guide - Concussion &

Subluxation Injuries

https://www.youtube.com/watch?v=iwQhMFIpovM
I. Comprehension check. Answer the following questions:

Concussion injury
1. What is dental concussion?
Is an injury of the tooth that causes discomfort , without any increased
mobility or displacement of the tooth from its original position, pain to
percussion as a hallmark feature, is symptomatic apical periodontitis
2. What are the clinical signs of dental concussion?
Pain, excess pressure on the pdl
Instant pressure and damage to the pdl
3. What is the hallmark feature of dental concussion?
Pain to percussion
4. What dental condition is the pain of dental concussion similar to?
Apical periodontitis, or hiper oclusion
5. Is the periodontal ligament (PDL) affected in dental concussion?
yes
6. Can concussion be noticed in fractured teeth?
yes
7. How is a concussion injury diagnosed?
To tap the teeth in the area, it will be sensitive to percusion
8. What may be suggestive of pulpal necrosis?

9. What does the X-ray show?

Concussion injury will not look abnormal on a radiograph
10.Why is X-ray necessary?
To rule out fractures and to document the teeth post injury
11.What is the treatment of concussion injury?
No treatment is necessary
12.What is the follow-up of concussion injury?

Subluxation

1. What is tooth subluxation?

Is an injury of a tooth that results in increased mobility without
displacement of it.
2. What are the clinical signs of tooth subluxation?
Bleading from the sulcus , increased mobility , damage of the pdl and
neurovascular supply , pain to percusion
3. Is the periodontal ligament (PDL) affected in tooth subluxation?
 yes
4. What does the pulp test show in subluxation injury?
A negative response to cold, this could be a transient lack of response but
could indicate a permanent damage
5. How is a subluxation injury diagnosed?
With x ray, fisical X-ray
6. What may be suggestive of pulpal necrosis?

7. What does the X-ray show?

No significant findings on radiographs
8. What X-ray images should be taken?
In occlusal and two periapical images from mesial anddistal are recomended
9. Why is X-ray necessary?
To show the subluxation injury
10.What is the treatment of subluxation injury?
A flexible splint for 2 weeks
11.What may bleeding result in?
May result in pulpal necrosis
12.What is the follow-up of subluxation injury?
Splint removal at two weeks , to check pulp response at four weeks , six
weeks, one year

Video. Dental Trauma Mini-Course - Part 9 - Dental Trauma Guide - The Lateral
Luxation Injury

https://www.youtube.com/watch?v=Gnc0BRnkTWs

I. Comprehension check. Answer the following questions:

Lateral luxation
1. What is dental lateral luxation?
When the tooth is displaced in any direction exept axially
2. What are the clinical signs of lateral luxation?
the tooth is displaced in any direction exept axially, it will also cause a
fracture of the labial or palatal alveolar bone
3. What does an axial displacement indicate?
An axial displacement would indicate an intrusion or an extrusion
4. What can lateral luxation cause?
it will also cause a fracture of the labial or palatal alveolar bone
5. What can an alveolar fracture cause?
It can cause Fracture of palatal and alveolar bone
6. What is the treatment of lateral luxation and alveolar fracture?
the treatment for the lateral lluxation and alveolar fracture is the same
7. What is the difference between lateral luxation and alveolar fracture?
In an alveolar fracture there are several teeth involved or displaced .
Lateral luxation is characterized by partial or total separation of the pdl.
8. What does the pulp test show?
Teeth respond negative to cold and pulpal necrosis
9. How is lateral luxation diagnosed?
By x-ray
10.What does the X-ray show?
A space around the root that represent the socket of tooth
11.Why is an X-ray necessary?
To diagnose lateral luxation , and alveolar fracture
12.What is the goal of the treatment of lateral luxation?
To reposition the tooth and to splint it
13.What happens in lateral luxation of immature teeth
Revascularization can be confirmed radiographically by continued root
formation , this could be confirmed with a positive response to cold test
It has a higher chance of maintaining vitality .
14.What is the follow-up of lateral luxation?
At 2 and 4 weeks for splint removal continue follow-up at six to eight weeks
and at one year
If normal pulp responses are found at all these follow-visits no further
treatment is indicated