Trauma

• What is the first step in confirming parental responsibility?

  Check if dad is on the birth certificate
• Why is it important to confirm parental responsibility?

  To ensure consent can be legally obtained
• What information should be gathered about the trauma incident?

  Details on how the incident occurred
• What should be checked regarding the timing of the child's visit to the dental practice?

  Whether there was a delay in bringing the child
• What should be done if the child was knocked unconscious?

  Instruct to go to A&E immediately
• What should be confirmed about the stories of the dad and child?

  Ensure their accounts match up
• What type of medical history should be obtained for the child?

  A full medical history of the child
• What should be asked regarding pain management prior to the visit?

  Was any pain medication or ice pack given?
• What should be assessed about the UR1 prior to the accident?

  Did it have any mobility before the accident?
• What should be asked about the tooth after the accident?

  Did the tooth fall out and was it replaced?
• What should be considered regarding safeguarding issues?

  Look for any signs of safeguarding issues
• What type of examination should be conducted after the incident?

  Intra and extra oral exam for injuries
• What tests can be conducted on the tooth?

  Tooth vitality tests using electric/ethyl chloride
• What should be assessed regarding the child's pain level?

  Assess the level of pain the child is in
• What type of painkillers should be considered for the child?

  Sugar-free paracetamol for pain relief
• What should be done to reassure the parent and child?

  Provide reassurance to both parent and child
• What is the first step in treating the mobile UR1?

  Explain the procedure and gain consent
• What material can be used for splinting the tooth?

  Arch wire or an unbent paperclip
• How should the arch wire be prepared for splinting?

  Bend to match the contour of the tooth line
• What should be done if the child is bleeding from the socket?

  Consider administering LIA for vasoconstriction
• What is the procedure for administering LIA?

  Apply topical fluoride, then lidocaine slowly
• What is required for the splint to be effective?

  Two teeth on either side of the mobile tooth
• How should the teeth be isolated for treatment?

  Isolate UL1, UR1, and UR2 with CWR
• What should be done after drying the teeth?

  Apply 37% phosphoric acid etch to the teeth
• How long should the phosphoric acid etch be left on the teeth?

  Leave for 10-20 seconds
• What should be done after etching the teeth?

  Wash away the acid with the 3-in-1 tip
• How should the bond be applied to the teeth?

  Use a micro brush on the buccal areas
• How long should the light cure be applied to each tooth?

  20 seconds for each tooth
• What should be done with the composite after mixing?

  Place a small ball onto each tooth's surface
• How should the composite be contoured after application?

  Smoothen with a flat plastic hand instrument
• What should be done after contouring the composite?

  Set the composite with light cure as instructed
• What should be done if the composite requires polishing?

  Polish carefully with a white rubber disc
• How long should the splint remain in place?

  For 2 weeks
• What should be done after the appointment regarding follow-up?

  Book a follow-up appointment for review
• What dietary advice should be given post-treatment?

  Soft foods like rice and pasta are recommended
• What signs should be monitored for infection?

  Increasing discomfort, unpleasant taste, or fever
• What should be done for oral hygiene around the splint?

  Ensure patient cleans around the splint properly
• What method can be used to teach oral hygiene to the child?

  Use tell-show-do with a single tufted toothbrush
• What should be done after the appointment regarding patient notes?

  Write up everything in the patient notes
• Why is it important to inform the dentist after the appointment?

  So a review appointment can be booked