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Orofacial Trauma
This section reviews injuries to the primary and permanent dentition.
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As in any injury, an adequate history is essential for proper diagnosis and treatment. An assessment of the child's general health and any systemic/neurological effects of the trauma should be completed before initiation of any treatment and, depending on the nature of the injury, adequate tetanus immunization should be ensured.
The examiner should always be alert to the potential for child abuse in injury cases and cognizant of the legal responsibility to report any suspicions to the proper authorities. Sexual abuse may be evident in palatal bruising or torn frenum attachment.
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Clinical examination should rule out major systemic damage and include facial and neck palpation to determine if any injuries have occurred to bones, joints, or soft tissues.
Intraoral examination should include the injured tooth or tissues as well as all surrounding soft and hard oral tissues for possible secondary injuries. Radiographs are requested based on clinical findings.
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Orofacial Trauma
As in any injury, an adequate history is essential for proper diagnosis and treatment. An assessment of the child's general health and any systemic/neurological effects of the trauma should be completed before initiation of any treatment and, depending on the nature of the injury, adequate tetanus immunization should be ensured.
Clinical examination should rule out major systemic damage and include facial and neck palpation to determine if any injuries have occurred to bones, joints, or soft tissues.
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