Professional Documents
Culture Documents
Dento-alveolar fractures
Definition
Are those in which avulsion, subluxation or
fracture of the teeth occurs in association with a
fracture of the alveolus
It may occur as an isolated clinical entity or in
conjunction with any other soft tissue or facial
bone fracture
Isolated dento-alveolar fracture seen among
children and adolescents and boys are 3 times
at risk than girls (Hunter et al 1990, Andreason &
Andreason 1994)
Etiology
Treatment objectives
Management:
Fractured, extruded or grossly displaced teeth are to be
extracted
Less displaced with no occlusal interference should be
monitored since extraction carries risk to permanent one
7
Root fracture
(Oblique, vertical or transverse)
Inevitable extraction
Saving the tooth by:
Rigid splinting for a minimum of 8 weeks
Devitlaiztion (RCT) with eventful apico surgery
Orthodontic extrusion or crown lengthening
8
10
Alveolar fracture
Alveolar injury in mandible is associated with complete fracture
of tooth-bearing area and in maxilla is often isolated injury
Teeth damage might be no existed but the potential
devitilzation should be expected
Alveolar fractures are often seen as two distinct fragment
containing teeth but comminuted fracture is possible
Alveolar fracture in mandible my go along with mandible
fracture and impacted fracture into the maxilla may appear to
be immobile
Midline split of palate with unilateral Le Fort I lead to large
dento-alveolar fracture
Fracture of tuberosity and fracture of antral floor is a
recognized complication of upper molars extraction
11
16