Dentoalveolar Trauma Assessment & Management Protocol
Classify and manage acute dentoalveolar trauma with evidence-based protocols
What You Can Do
You can systematically assess acute dentoalveolar injuries using structured frameworks that classify fracture types, luxation stages, and avulsion status. The skill guides you through rapid determination of urgency tiers, identifies associated injuries requiring coordination with other specialties, and establishes evidence-based treatment timelines—all while generating standardized documentation for medico-legal purposes.
Features
Ellis classification for crown fractures, luxation staging (subluxation, extrusion, intrusion, lateral), and avulsion status assessment
Determines priority interventions and stabilization requirements based on tissue viability and systemic involvement
Systematic evaluation for alveolar bone fractures, root fractures, soft tissue lacerations, and TMJ involvement
Evidence-based sequencing for splinting, repositioning, endodontic intervention, and follow-up assessment intervals
Standardized injury documentation, photographic guidelines, and consent templates for complex cases
Identifies referral needs and communication points with emergency medicine, general dentistry, orthodontics, and prosthodontics
Protocols for managing tooth viability assessment in cases presenting >72 hours post-injury
Structured algorithms for mandibular vs. maxillary trauma, pediatric vs. adult considerations, and primary vs. permanent dentition
Example Output
Example 1: Acute Avulsion
Presentation: 8-year-old with #8 (maxillary right central) avulsed 45 minutes prior; tooth found by parent, rinsed under tap water, stored in tissue
Urgency Tier: IMMEDIATE (T0)
Viability Window: 45 minutes elapsed, 45-120 minutes optimal for replantation
Immediate Steps:
✓ Handle tooth by crown only; minimal manipulation
✓ Transport to clinic in 0.9% saline or milk (reimburse parent for storage medium if necessary)
✓ Intraoral inspection: No alveolar fracture; socket integrity intact
✓ Replantation with repositioning splint (passive flexible type)
✓ Antibiotic prophylaxis + tetanus status verification
✓ Radiographs: PA, lateral, occlusal to confirm position
Follow-up: 2 weeks (splint removal), 4 weeks (clinical assessment), 6 weeks, 3 months, 6 months (endodontic evaluation)
Example 2: Complicated Crown-Root Fracture
Presentation: 35-year-old with #21 (maxillary left central) buccal oblique fracture extending subgingivally; trauma sustained 6 hours prior
Urgency Tier: URGENT (T1)
Viability Assessment: Pulp vitality testing (cold response present); bleeding from fracture line indicates vascular involvement
Classification: Ellis Class III equivalent; complicated crown-root fracture with gingival margin involvement
Immediate Management:
✓ Radiographs: PA, lateral, cone-beam CT if alveolar involvement suspected
✓ Gingivoplasty/modest bone recontouring if fracture margin >2mm subgingivally
✓ Provisional restoration (composite) to stabilize fragment and protect pulp
✓ Endodontic consultation for vital tooth management timeline
✓ Splinting assessment: Likely not required given crown stability
Follow-up: 1 week (clinical, vitality retest), 2-4 weeks (endodontic initiation if needed), 6 months, 1 year
What's Included
- SKILL.md: Complete protocol instruction file for Claude integration
- Trauma Classification Checklist: Ellis classification, World Health Organization luxation staging, and avulsion status assessment tool
- Urgency Triage Flowchart: Decision tree for T0 (immediate), T1 (urgent), and T2 (routine) categorization
- Treatment Planning Timeline Template: Phased intervention schedule with splinting duration, follow-up intervals, and specialist referral triggers
- Medico-Legal Documentation Worksheet: Standardized injury notation, photographic protocol checklist, consent documentation, and chain-of-custody templates
Who It's For
- Oral and Maxillofacial Surgeons — Primary users managing acute dentoalveolar trauma in hospital and private surgical settings
- Emergency Medicine Physicians — Hospital-based clinicians triaging acute dental injuries before specialist consultation
- General Dentists — Community practitioners providing initial stabilization and documentation pending specialist referral
- Pediatric Dentists — Specialists managing trauma in mixed and primary dentitions with age-specific protocols
- Trauma Coordinators/Nurses — Clinical staff documenting injuries and coordinating multidisciplinary care pathways
Best For
- Acute tooth fracture assessment — Rapid classification and treatment planning within first 72 hours post-injury
- Luxation and avulsion management — Immediate stabilization, repositioning, and splinting protocol selection
- Medico-legal documentation — Standardized injury recording for insurance claims, litigation holds, and patient records
- Multidisciplinary coordination — Identifying referral needs and communication pathways with endodontics, orthodontics, and prosthodontics
- Delayed trauma presentations — Viability assessment and treatment modifications for injuries presenting >1 week post-injury
You might also like
Transform raw facial trauma presentations into standardized, clinically actionable assessment documents. You input patient presentation data, imaging findings, and injury mechanisms, and Claude generates comprehensive injury inventories, anatomical relationship documentation, fracture classifications, and risk stratification summaries. The skill synthesizes complex injury patterns into structured formats compatible with trauma registries while flagging critical decision points that require immediate surgical intervention.
by comeonoliver
You can evaluate water fluoridation levels, coverage gaps, and demographic disparities across populations. This skill helps you draft data-driven community health assessments, create multilingual educational materials addressing common objections, and build implementation timelines with stakeholder communication strategies. You'll generate evidence-based recommendations for municipal decision-makers while identifying vulnerable populations requiring targeted outreach.
by comeonoliver
You create clinically accurate, personalized patient education materials tailored to specific diagnoses, age groups, and literacy levels. This skill produces chairside scripts, take-home instruction sheets, and behavioral messaging that address patient misconceptions, motivate compliance, and explain complex oral health concepts in accessible language. Whether you're educating a teenager about gingivitis prevention or explaining periodontal disease to an older adult, you get customized content ready to deliver immediately.
by comeonoliver
You can systematically develop phase-by-phase orthodontic treatment protocols that synthesize diagnostic data, patient anatomy, and mechanical principles. This skill generates detailed appliance selection recommendations, extraction vs. non-extraction analyses, wire progression sequences, and clinical milestones to guide efficient execution from initial placement through retention for complex malocclusions requiring three-dimensional control.
by comeonoliver
You can systematically evaluate patients with severe skeletal discrepancies and develop coordinated surgical treatment plans that integrate cephalometric analysis, surgical movement simulation, and patient communication strategies. This skill structures the entire pre-operative planning process—from baseline skeletal assessment through surgical consultation readiness—ensuring precise documentation and clear coordination with maxillofacial surgery partners.
by comeonoliver
This skill walks you through systematic treatment planning for crown and bridge cases by integrating clinical variables—biomechanical principles, esthetic demands, material properties, patient factors, and financial constraints—into coherent treatment strategies. You'll receive structured decision-making frameworks for material selection, preparation geometry, span considerations, and detailed patient communication protocols that reduce clinical errors and improve predictability across single crowns, multi-unit bridges, complex esthetic cases, and implant-supported restorations.
by comeonoliver
You can transform patient presentations into evidence-based crown and bridge treatment plans that account for clinical factors (tooth anatomy, bone support, opposing dentition), patient variables (budget, esthetics, longevity), and laboratory requirements. The skill guides systematic case analysis, material and design selection, treatment sequencing decisions, and generates patient-ready documentation to support informed consent and case acceptance.
by comeonoliver
This skill provides endodontists with a systematic protocol for assessing acute dental trauma cases, establishing urgency levels based on injury type and pulp vitality indicators, and creating documented baseline diagnostics that inform treatment decisions. You'll apply standardized assessment criteria across crown fractures, root fractures, luxation injuries, and avulsions—determining which cases need immediate intervention, which benefit from staged treatment, and which require specialist consultation or referral.
by comeonoliver