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During a tooth avulsion, a tooth is completely or partially (such that the dental pulp is exposed) detached from its socket. Secondary (permanent) teeth can be replaced and stabilised by a dentist. [23] Primary (baby) teeth are not replaced because they tend to become infected and interfere with the growth of the secondary teeth. [23]
Diagram of lateral view of face showing the imaginary line between the tragus of the ear and the middle of the upper lip. The middle third of this line is the approximate location of the course of the parotid duct. If facial lacerations cross this line, there is a risk that the parotid duct is damaged.
If a tooth is avulsed, make sure it is a permanent tooth (primary teeth should not be replanted, and instead the injury site should be cleaned to allow the adult tooth to begin to erupt). Reassure the patient and keep them calm. If the tooth can be found, pick it up by the crown (the white part). Avoid touching the root part.
Angular cheilitis is thought to be a multifactorial disorder of infectious origin, [10] with many local and systemic predisposing factors. [11] The sores in angular cheilitis are often infected with fungi (yeasts), bacteria, or a combination thereof; [8] this may represent a secondary, opportunistic infection by these pathogens.
Occlusal trauma; Secondary occlusal trauma on X-ray film displays two lone-standing mandibular teeth, the lower left first premolar and canine. As the remnants of a once full complement of 16 lower teeth, these two teeth have been alone in opposing the forces associated with mastication for some time, as can be evidenced by the widened PDL surrounding the premolar.
It is most commonly seen in school children. Dental subluxation is one of the most common traumatic injuries in primary dentition. Maxillary central incisors are the most commonly affected teeth. [10] [11] Some studies have proposed that the resilience nature of periodontium favours dislocation than fracture of the tooth itself. [12]
Lacerations – irregular tear-like wounds caused by some blunt trauma. Lacerations and incisions may appear linear (regular) or stellate (irregular). The term laceration is commonly misused in reference to incisions. [9] Abrasions (grazes) – superficial wounds in which the topmost layer of the skin (the epidermis) is scraped off.
A cerebral laceration is a type of traumatic brain injury that occurs when the tissue of the brain is mechanically cut or torn. [1] The injury is similar to a cerebral contusion ; however, according to their respective definitions, the pia - arachnoid membranes are torn over the site of injury in laceration and are not torn in contusion .