Aug 24, 2020
Contributor: Peter Bakes, MD
- Dental fractures are described by the Ellis
classifications, which are based on the involvement of layers of
I: involvement of the enamel
II: involvement of the enamel and dentin
III: involvement of the enamel, dentin, and pulp
Ellis I injuries can be sent for dental follow up without
intervention, Ellis II/III injuries require covering of the exposed dental layers,
particularly because bacteria can more easily enter into the
- Calcium hydroxide (Dycal) is used to cover
teeth until patients can get to a dentist.
- Dental avulsions, or displacement of the tooth
from the socket, are time sensitive. Every minute the tooth is not
put back in place carries an increased risk of permanent loss.
After the tooth is replanted, it requires fixation or
- Dental subluxations can also be secured or
braced with dental follow up
Marte, D, and B Robinson.
Core EM, 7 Oct. 2019,
Rosenberg H, Rosenberg H, Hickey M.
Emergency management of a traumatic
Summarized by Jackson Roos, MS4 | Edited by
Erik Verzemnieks, MD