Dentoalveolar Fracture with Mild Head Injury ; A case report

Andi Tajrin(1), muhammad Ruslin(2), Abul Fauzi(3), Muhammad I. Rasul(4), Moh. Gazali(5), Nurwahida Nurwahida(6), Hadira Hadira(7), Yossy Y. Ariestiana(8),


(1) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(2) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(3) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(4) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(5) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(6) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(7) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia
(8) Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hasanuddin University, Makassar, Indonesia

Abstract

Introduction: Trauma to the teeth and its supporting tissues often occurs in trauma patients. The involvement of orofacial trauma is estimated to be around 15% of all emergency patients, and 2% of these cases involve dentoalveolar trauma.

Objective: Case report of a 53-year-old man case of gum, with complaints of tooth, gum, and head pain due to trauma from motorcycle accident

Case Report: Complaints experienced by a single motorcycle accident and hit a wooden board with the position of the face hit first, patients have lost consciousness shortly after the accident. Complaints of pain in the upper lower lip and gum, avulsion on teeth 11,21 and mobility on teeth 12,22,31,32,41,42.

Discussion: The patient had previously treated in a community health service so that the airway inspections and handling were not carried out. Observative was carried out in consultation with the Neurosurgery section for a history of loss of consciousness, than the definitive care by attaching an Eyelet splint for a fixation to the maxillary anterior teeth, and fixation with Erich arch bar for the mobile mandibular anterior teeth. These actions was performed under general anesthesia.

Conclusion: Interdental Wiring (IDW) is an intraoperative fixation technique for dentoalveolar trauma, in this case eyelet splints and Erich arch bar were used. Patients with head trauma should be consulted to Neurosurgery department before the definitive treatment.

Keywords

Interdental Wiring (IDW), Erich arch bar, Eyelet splint, Dentoalveolar trauma

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References

J. S. Reynolds, M. T. Reynolds, and M. P. Powers, “Diagnosis and Management of Dentoalveolar Injuries”, Edited R. J. Fonseca, R. V. Walker, H. D. Barber, M. P. Powers, D. E Frost, Saunders, Saint Louis, (2013), pp. 248-80.

R. R. Welbury, “Dentoalveolar Injuries”, Edited P. W. Booth, B. L. Eppley, R. Schmelzeisen, Saunders, Saint Louis, (2012), pp. 288-302.

T. Yokoyama, Y. Motozawa, T. Sasaki, M. Hitosugi, “A Retrospective Analysis of Oral and Maxillofacial Injuries in Motor Vehicle Accidents”, Journal of Oral Maxillofacial Surgery., vol. 64, no. 12, (2006), pp. 1731-1735.

P. O. Ceallaigh, K. Ekanaykaee, C. J. Beirne, D.W. Patton, “Diagnosis and Management of Common Maxillofacial Injuries in The Emergency Department”, Emergency Medicine Journal., vol. 6, no. 24, (2007), pp. 429–430.

E. Ellis, “Soft Tissue and Dentoalveolar Injuries”, Edited J. R. Hupp, E. Ellis, M. R. Tucker, Mosby Inc, Saint Louis, vol. 5, (2008), pp. 471-492.

V. Wilson, S. Barclay, S. Pervin S, “The Referral and Management Process of Patients Sustaining Peri-anaesthetic Dento-alveolar Trauma: an Audit”, British Dental Journal., Vol. 224, no. 7, (2018), pp. 513–516.

C. R. Olynik, A. Gray, G. G. Sinada, “Dentoalveolar Trauma”, Otolaryngololgic Clinics of North America., vol. 46, no. 5, (2013), pp. 807-823.

R. D. Leathers, R. E. Gowans, “Management of Alveolar and Dental Fracture”, Edited M. Miloro, G. E. Ghali, P. E. Larsen, P. D. Waite, BC Decker Inc, Hamilton, (2004), pp. 383-397.

N. Beech, E. Tan-Gore, K. Bohreh, D. Nikolarakos, “Management of Dental Trauma by General Practitioners”, Australian Family Physician., vol. 44, no. 12, (2015), pp. 915–918.

B. Kahler, J. Y. Hu, C. S. Marriot-Smith, G. S. Heithersay, “Splinting of Teeth Following Trauma: A Review and A New Splinting Recommendation”, Australian Dental Journal., vol. 61, (2016), pp. 59–73

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DOI:
https://doi.org/10.20956/jcrdm.v2i3.135

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