TAILIEUCHUNG - Paediatric Dentistry At a Glance: Part 2

(BQ) Part 1 of the document Transplant patients of abdominal organ and ICU care has contents: Spontaneous bacterial peritonitis, hepatic encephalopathy, upper gastrointestinal bleeding, refractory ascites and hepatic hydrothorax, and other contents. Invite you to refer. | Paediatric Dentistry At a Glance Part 2 27 Assessment of trauma in children Figure Soft tissue injury to the labial fraenum. This is a common injury and non-accidental injury should not be discounted. Figure A parasymphyseal fracture with minimal displacement. Many of the fractures in children are greenstick and present with minimal or no displacement. Table Paediatric Glasgow Coma Score children gt 1 year . Eye opening Spontaneously 4 To speech 3 To pain 2 None 1 Verbal Conversant and uses appropriate words 5 Figure Gingival laceration and degloving from blunt trauma. Confused and uses inappropriate words 4 Cries persistently to pain 3 Incomprehensible sounds or moans to pain 2 None 1 Motor Obeys commands 6 Localises pain 5 Withdraws from pain 4 Abnormal flexion to pain 3 Abnormal extension to pain 2 None 1 Severity of head injury Frequency of trauma in children Investigations 30 suffer injury to the primary dentition. Radiographs 22 injure their permanent teeth. As it is often difficult to obtain diagnostic intra-oral radiographs from Peak incidence 2 4 years and then at 8 10 years. an injured young child there is advantage in using extra-oral pano- Male female ratio 2 1. ramic radiographs. When determining the presence of a root fracture Overjet 3 6 mm twice the frequency of trauma gt 6 mm threefold several films may be required at different angulations. increase. Dento-alveolar injuries periapical films Child management panoramic radiographs. It is important to assess early how the child is going to cope with the Mandibular fracture condylar head fracture required treatment. In the emergency situation it is easy to concentrate panoramic radiographs on all the procedures that are required and forget about appropriate cone-beam tomography computed tomography CT scan child management and the concerns of the parents. true mandibular occlusal. Can the child cope with the procedure Maxillary fractures Non-pharmacological behaviour management .

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• Hepatic hydrothorax
• Refractory ascites
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• Proton pump inhibitors
• Gastrointestinal bleeding
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