Best Practice Case Studies-HEENT

Pdf Summary

The document focuses on the management of dental injuries in athletes, specifically addressing the handling of avulsed teeth in two separate scenarios.<br /><br />In Study Question #1, the focus is on managing a tooth avulsion in an unconscious player. The best method for transporting an avulsed tooth is placing it in a balanced salt solution (Choice D). This prevents the tooth from drying out and preserves it for potential re-implantation. It is not advisable to place the tooth in the mouth of an unconscious player due to the risk of choking (Choice A). While whole milk and saline can also be considered for tooth transport, they are secondary options, with tap water being the least favorable (Choice B).<br /><br />Study Question #2 involves an eight-year-old male karate participant who has suffered the complete avulsion of a primary tooth. The appropriate handling is to stop the bleeding and leave the tooth alone (Choice A). Replanting primary teeth is not recommended due to the risk of damaging the developing permanent teeth. If dealing with a permanent tooth, immediate replantation is ideal, preferably within five to ten minutes for the best outcome. If replantation is not possible immediately, storing the tooth in a solution like Hank’s Balanced Salt Solution or normal saline could be considered. However, water is not advised for long-term storage as it negatively affects periodontal ligament healing, though it is preferable to dry storage if other options are unavailable.<br /><br />The referenced articles and guidelines provide additional insights into dental injury management in athletic contexts, emphasizing the importance of prompt and appropriate care to maximize re-implantation success.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 23

Topic HEENT

Keywords

dental injuries

athletes

avulsed teeth

tooth transport

balanced salt solution

primary tooth avulsion

permanent tooth replantation

periodontal ligament

Hank’s Balanced Salt Solution

dental injury management

3rd Edition

3rd Edition, CASE 23

HEENT