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Dento Alveolarfractures 100401060536 Phpapp02
Dento Alveolarfractures 100401060536 Phpapp02
Dento-alveolar fractures
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Definition
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Etiology
Extraction of teeth
Endoscopy procedure
Endotreacheal intubation
3
Classification of dento-alveolar injuries
(Andreasen & Andreasen 1994)
Periodontal injury
Concussion, subluxation, intrusion, extrusion, lateral luxation,
avulsion
Gingival injury
contusion, abrasion, laceration, degloving
6
Injuries to the primary dentition
– 70% involve maxillary central incisors
Management:
7
Management of injuries to permanent dentition
Crown fracture
Dressing of exposed dentin, minimal pulpotomy or
pulp extirpation and restoration of damaged part of
the tooth
Root fracture
(Oblique, vertical or transverse)
– Inevitable extraction
– Saving the tooth by:
8
Injuries to periodontal tissues
Force distributed over several teeth or impact
cushioned by overlying soft tissue may result
into:
Concussion
Subluxation
Intrusion
Displacement and avulsion
Fracture of teeth structure
Acid-etch composite
Arch bar
Orthodontic wire
Soft stainless-steel wire-loop,
Vacum formed splint
10
Alveolar fracture
Alveolar injury in mandible is associated with complete fracture
of tooth-bearing area and in maxilla is often isolated injury
11
Management of injuries to the alveolar bone
(Block or plate fracture)
Finger manipulation
12
Management of tuberosity fracture
13
Injuries to the gingival and soft tissues
14
Management of soft tissue injuries
Inspection of a full thickness perforating wound
Antibiotic prescription
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