When a patient presents following a traumatic dental injury, there are several pieces of information that should be recorded and it can be useful to use a standard trauma form as this ensures that nothing is forgotten. This should include such information as follows:
• Personal details
- name
- address
- DOB
• Medical History
• History of traumatic injury
Where?
When?
How?
Any treatment already received?
Examination - extra-orally
- intra-orally
Extra-oral - general state: concussion?
- Bruising
- facial lacerations
- bone fractures
Intra-oral - soft tissue lacerations
- tooth fractures: Classification?
- Alveolar fractures
- tooth displacement/mobility
- radiographic examination
• Treatment planning
• Casualty referral
• Tetanus cover?