the team approach to managing paediatric dentoalveolar trauma
TRANSCRIPT
![Page 1: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/1.jpg)
The team approach to managing paediatric dentoalveolar trauma
Sheena Kotecha, John Scannell
Birmingham Children’s Hospital
![Page 2: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/2.jpg)
Outline
Types of dentoalveolar injuries Trauma statistics Care pathway Teamwork in trauma management Summary
![Page 3: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/3.jpg)
Dentoalveolar Trauma
Hard tissue injuries Enamel fractures Enamel dentine fracture –
complicated/uncomplicated Root fractures
Soft tissue injuries Subluxation Luxation Avulsion
![Page 4: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/4.jpg)
Enamel Dentine Fracture
![Page 5: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/5.jpg)
Dentoalveolar Trauma
Hard tissue injuries Enamel fractures Enamel dentine fracture –
complicated/uncomplicated Root fractures
Soft tissue injuries Subluxation Luxation Avulsion
![Page 6: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/6.jpg)
Root Fracture
![Page 7: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/7.jpg)
Dentoalveolar Trauma
Hard tissue injuries Enamel fractures Enamel dentine fracture –
complicated/uncomplicated Root fractures
Soft tissue injuries Subluxation Luxation Avulsion
![Page 8: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/8.jpg)
Lateral Luxation
![Page 9: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/9.jpg)
Dentoalveolar Trauma
Hard tissue injuries Enamel fractures Enamel dentine fracture –
complicated/uncomplicated Root fractures
Soft tissue injuries Subluxation Luxation Avulsion
![Page 10: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/10.jpg)
Avulsion
![Page 11: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/11.jpg)
Trauma Statistics
1062 patients between 2003-2006 309 with dentoalveolar injuries 207 male 102 female 0-3 yrs: 84 4-7 yrs: 100 8-11 yrs: 73 12-15 yrs: 52
![Page 12: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/12.jpg)
Referral Source
0
20
40
60
80
100
Per
cent
age
(%)
Regional Self-referral GDP/GMP
Referral source of trauma patients
![Page 13: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/13.jpg)
Aetiology
11
66
3 4 8 80
20
40
60
80
100
Percen
tag
e (
%)
Aetiology of dentoalveolar trauma
![Page 14: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/14.jpg)
Injury Type
0102030405060708090
100
Per
cent
age
(%)
Luxation Fracture Avulsion AlveolarFracture
Other
Relative incidence of dentoalveolar injuries
![Page 15: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/15.jpg)
Care Pathway
Triage nurse
ED doctor
Maxillofacial SHO
Paediatric Dentist
Other dental speciality PDS
![Page 16: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/16.jpg)
Teamwork in Avulsion
Triage Nurse Telephone advice – storage medium and attend
ED asap Where is the tooth? – mouth, swallowed, inhaled,
lost, with patient? Contact ED doctor/maxillofacial SHO
ED Doctor Medical History Assess other injuries
![Page 17: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/17.jpg)
Radiology Department
![Page 18: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/18.jpg)
Teamwork
Triage Nurse Telephone advice – storage medium and attend
ED asap Where is the tooth? – mouth, swallowed, inhaled,
lost, with patient? Contact ED doctor/maxillofacial SHO
ED Doctor Medical History Assess other injuries
![Page 19: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/19.jpg)
Teamwork
Dental SHO Assess dental injuries Re-implant tooth Splint
Maxillofacial Technician Construct splint
ED Nursing staff Technical assistance Patient management
![Page 20: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/20.jpg)
Splints
![Page 21: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/21.jpg)
Teamwork
Dental SHO Assess dental injuries Re-implant tooth Splint
Maxillofacial Technician Construct splint
ED Nursing staff Technical assistance Patient management
![Page 22: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/22.jpg)
Teamwork
Paediatric Dentist Review and treat as necessary Referral
Other dental speciality Orthodontics Prosthetics Restorative Oral Surgery
PDS
![Page 23: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/23.jpg)
Summary
Patients with dentoalveolar trauma are managed by various health professionals:
Within the same hospital Between different hospitals Between professionals in different settings
Relies on effective communication and teamwork.
![Page 24: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/24.jpg)
Acknowledgements
Mrs Victoria Clark Mr Andrew Monaghan
![Page 25: The Team Approach to Managing Paediatric Dentoalveolar Trauma](https://reader033.vdocument.in/reader033/viewer/2022052904/55813892d8b42a9b098b45fb/html5/thumbnails/25.jpg)
Any Questions?
Thank you