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NHS Wales Dental Referral Management System
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Saving Smiles

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Improving outcomes following dental trauma. 4 hours of verifiable CPD designed to supplement the Saving Smiles guide and programme. Ideal for foundation and experienced dentists. This course was designed to address an identified learning need in the management of dental trauma.

Lessons

3. Maxillofacial Considerations

Length: 15 minutesComplexity: Standard

It is the role of the clinician to identify issues which require maxillofacial input if the patient presents to the dental surgery first. Generally, because of the health care system structure in the UK, most patients with significant trauma will present to A&E rather than the dental surgery, but the clinician should remain vigilant. The two general considerations to be aware of are facial lacerations and fractures.

5. Management 1: The primary dentition

Length: 15 minutesComplexity: Standard

The commonest reasons for trauma to the primary dentition are falls and bumps but it is important to rule out non-accidental injury.

6. Management 2: Fractures

Length: 10 minutesComplexity: Standard

Teeth can break in a number of ways furthermore each tooth can have multiple different breaks. Fractures may occur in the root, the crown and/or involve both crown and root.

7. Management 3: Displacements

Length: 15 minutesComplexity: Standard

Displacement injuries present in all forms as teeth can be moved bodily apically, coronally, laterally or totally avulsed.

8. Management 4: Splinting

Length: 10 minutesComplexity: Standard

Splinting immobilizes the tooth in the correct position, reducing the risk of further trauma and allowing healing.

9. When to Refer

Length: 15 minutesComplexity: Standard

It is expected that all practitioners should be capable of managing acute dental trauma in primary care; not only does this ensure treatment is delivered rapidly and locally but emphasises the importance of a good understanding of dental trauma and the practicalities of the follow-up process.

10. Long Term Consequences

Length: 15 minutesComplexity: Standard

Trauma to the dentition can have a two fold effect. There are the immediate problems caused during the acute phase, but also the long term consequences.

11. Case example

Length: 15 minutesComplexity: Hard

A case example of trauma to consider and answer questions.

Pathways and Referrals

Safety and Quality

Area: Aneurin Bevan | Betsi Cadwaladr | Cardiff & Vale | Cwm Taf | Hywel Dda | Powys | Swansea Bay

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