Management of dentofacial trauma in an adolescent patient: The conservative and the preservative approach
PDF

Keywords

Arch bars
Mandibular fracture
Maxillo-mandibular fixation
Ribbond fiber prosthesis

How to Cite

Rai, A., Koirala, B., Dali, M., & Shrestha, S. (2021). Management of dentofacial trauma in an adolescent patient: The conservative and the preservative approach. Journal of Kathmandu Medical College, 9(4), 234–240. Retrieved from https://jkmc.com.np/ojs3/index.php/journal/article/view/950

Abstract

Mandibular fractures are one of the most frequent occurrences in maxillofacial trauma. Age of the patient, presence of additional injuries, co-morbid diseases of the patient, trauma type, and localization of the fracture must be considered while choosing the treatment strategy. A 12-year-old female patient reported with the complaint of wound and pain in her face. There was history of fall injury while using tube well three days back. Clinical and radiographic findings revealed symphysis fracture with left sided parasymphysis and subcondylar fracture along with avulsion of 11 and 21. Intermaxillary fixation was done with Erich arch bars and elastics for the management of mandibular fracture, and rehabilitation of edentulous space was done using the avulsed teeth as pontics which were bonded to the adjacent abutment teeth using fiber-reinforced composite.

PDF

References

De Matos FP, Arnez MFM, Sverzut CE, Trivellato AE. A retrospective study of mandibular fracture in a 40-month period. Int J Oral Maxillofac Surg. 2010 Jan;39(1):10-5. [PubMed | Full Text | DOI]

Melike O, Veysel MI, Yuksel K, Koray G,Nezih S, Gurcan A, Ugur K. Analysis of fractured mandible over two decades. J Craniofac Surg. 2016 Sep;27(6):1456-61. [PubMed | Full Text | DOI]

Falci SG, Douglas-de-Oliveira DW, Stella PEM, Rochados CRS. Is the Erich arch bar the best intermaxillary fixation method in maxillofacial fractures? A systematic review. Med Oral Patol Oral Cir Bucal. 2015 Jul;20(4):494-9. [PubMed | Full Text | DOI]

Arthur G, Berardo N. A simplifed technique of maxillomandibular fixation. J Oral Maxillofac Surg. 1989;47:1234. [PubMed | Full Text | DOI]

Pandey R, Khatri A, Gupta R, Bhagat N. Use of orthodontic brackets for intermaxillary fixation for management of mandibular fracture in a pediatric patient. J Dent Allied Sci. 2017 Jan;6(1):35-8.[Full Text | DOI]

Ghasemzadeh A, Gerhard MS, Swanson EW, Utria AF, Dorafshar AH. Treatment of Pediatric Condylar Fractures: A 20-Year Experience. Plast Reconstr Surg. 2015 Dec;136(6):1279-88. [PubMed | Full Text | DOI]

Eckelt U, Schneider M, Erasmus F, Gerlach KL, Kuhlisch E, Loukota R, et al. Open versus closed treatment of fractures of the mandibular condylar process-a prospective randomized multi-centre study. J Craniomaxillofac Surg. 2006 Mar;34:306-14. [PubMed | Full Text | DOI]

Rahpeyma A, Khajehahmadi S. Force relaxation of 3/16 inch heavy orthodontic latex elastics used in maxillofacial trauma in simulated jaw fracture situation. Dent Hypotheses. 2014 Oct;5(4):146-9. [Full Text | DOI]

De Oliveira NS, Barbosa GLR, Lanza LD, Pretti H. Prosthetic rehabilitation of child victim of avulsion of anterior teeth with orthodontic mini-implant. Case Rep Dent. 2017 Sep:1-4. [PubMed | Full Text | DOI]

Pithon MM, Mendes EB, De Souza RA, De Freitas LMA. A space maintainer for growing patients withavulsed central incisors. J Clin Orthod. 2012 Jan;46(1):27-30.[PubMed]

Sara E, Sanaa C, Faiza A. Rehabilitation of esthetics after dental avulsion and impossible replantation: A case report. Int JAppl Dent Sci. 2018 Dec;4(1):265-9. [Full Text]

Tuncel I, Kilic G. Prosthetic rehabilitation of a patient with avulsed anterior teeth. Int J Prosthodont Restor Dent. 2013 Jul;3(3):111-4. [Full Text]