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Medical Forum / General / Dentistry / May 2007vitality of traumatized teeth
Suppose someone injured his upper two centrals and, two hours later, his dentist doesn't find any mobility, fracture, or bleeding near them. But at the same time, the two centrals were found to be non-vital. Nothing of significance otherwise and the patient doesn't report of any discomfort. Would it be best for his dentist to do nothing at this time and place him under periodic observation? Or should he immediately start rendering treatment for the non- vitality? ( I always thought vitality tests aren't accurate immediately after an injury ) I would personally go with a repeat of the vitality test later on. Regards, George > ( I always thought vitality tests aren't accurate > immediately after an injury ) You seem to already know the answers to many of the questions you ask. John vitality testing immediately after trauma is not very accurate. If there is an intrusion/extrusion event it could compress the nerve/art/ vein and give false readings. if it is asymptomatic, wait and retest. don't go hastily into endo would be my advice. >>( I always thought vitality tests aren't accurate >>immediately after an injury ) > > You seem to already know the answers to many of the questions you ask. > > John Fishing? Steve > Fishing? > > Steve I believe so. John Oh, we are such a group of rubes an yokels <G>. Student or young hot shot? D >>Fishing? >> [quoted text clipped - 3 lines] > > John Who's the rube and who's the yokel ?  Signature/ Amatus / > > Oh, we are such a group of rubes an yokels <G>. [quoted text clipped - 10 lines] >> >> John > Who's the rube and who's the yokel ? I love that character Cletus, the slack-jawed yokel, on the Simpsons. John >Suppose someone injured his upper two centrals and, two hours later, >his dentist doesn't find any mobility, fracture, or bleeding near [quoted text clipped - 10 lines] >vitality? ( I always thought vitality tests aren't accurate >immediately after an injury ) Wait 4 - 6 wks and then re-evaluate. |
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