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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Chapter 10: Oral Injury

Introduction
Dental injuries are very common and up to 30% of children injure their primary teeth. These injuries occur most often during the toddler years when children are active but unsteady on their feet.

These injuries become common again in the mid-elementary school years (ages 8 to 10) as children join sports teams and become more independently active outdoors (eg, bicycles, playgrounds, trampolines).

In adolescence, motor-vehicle accidents and assault become increasingly important in the epidemiology of dental injury.

Overall, tooth injury is more common in males (greater than a 2:1 ratio), and almost half of all children will incur some type of tooth damage by the time they reach adolescence.

Sections

1.
2.
3.
   
Concussion
   
Subluxation
   
Lateral Luxation
   
Intrusion
   
Extrusion
   
Avulsion
   
Fracture
4.
5.
6.
7.
8.


 
Chapter Objectives
Upon chapter completion, participants will be able to:
 
1.
Describe the incidence and epidemiology of dental injury in the United States.
 
2.
Outline a proper examination following an
oral injury.
 
3.
List and describe the 7 categories of tooth injury, their basic management, and possible sequelae.
 
4.
Discuss in detail the proper management of an avulsed tooth.
 
5.
Provide appropriate anticipatory guidance regarding oral injury prevention.
 
6.
Compare and contrast the 3 basic types of mouth guards and summarize the AAPD recommendations on mouth guard use in athletics.
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