A 12-year-old girl was hit in the face by a baseball 15 min

Discussion in 'MRCS Forum' started by Lona., Nov 23, 2007.

  1. Lona.

    Lona. Guest

    A 12-year-old girl was hit in the face by a baseball 15 min earlier and has her mandibular incisors knocked out. True statements about appropriate courses of action include all the following EXCEPT -
    a- The teeth should be rinsed in cold water
    b- The teeth should be replaced in as normal a position as possible
    c- The teeth may be transported in milk
    d- Avulsed teeth can be transported in the mouth of the older, cooperative pediatric patient if they cannot be reinserted at the scene
    e- A dental appointment should be made for the next day
  2. Lona.

    Lona. Guest

    Answer: - The answer is E. (Behrman, 15/e, pp 1048-1049). The earlier that permanent teeth are replanted the greater the rate of success, going down from 95 percent in the first 30 min to 5 percent after 2 h. The rate of success is a function of the integrity of the periodontal ligament. Milk is a good transport medium if the child is uncooperative or for some other reason the teeth cannot be reinserted at the scene. Teeth may also be transported in the mouth of the older, cooperative patient. The immediate application of acrylic splints is needed to keep the teeth in place, so immediate dental attention is required. The need for full tetanus immunization should be evaluated.

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