Research Article

Management of dentoalveolar fracture by using rigid wire and composite splint: A case report

Firstyananda W , Sjamsudin E

Firstyananda W
Resident Oral and Maxillofacial Surgery Faculty of Dentistry, Padjadjaran University and Hasan Sadikin General Hospital. Email: wimfirstyananda@gmail.com

Sjamsudin E
Staff of Oral and Maxillofacial Surgery Faculty of Dentistry, Padjadjaran University
Online First: June 05, 2018 | Cite this Article
W, F., E, S. 2018. Management of dentoalveolar fracture by using rigid wire and composite splint: A case report. Intisari Sains Medis 9(2). DOI:10.15562/ism.v9i2.266


Introduction: Dentoalveolar fractures in adults often occur in the context of daily activities and traffic accidents. Crown fracture is the most common type of lesion, followed by tooth mobility.

Case: A 67-year-old woman came to the Emergency Department with bleeding from the mouth because she fells down and her lips hit the bathroom floor. There was no history of unconsciousness, vomiting, and bleeding from ear and nose. The extraoral examination found an asymmetrical face, hematoma on the right eye area, nasolabial region and chin. Edema and hematoma on the upper and lower lip. The intraoral examination was found generalized hyperemia gingiva. The diagnosis was dentoalveolar fracture 12, 22 with crown fracture of teeth 11, 21, 22 accompanied by mobility grade 2 of 12, 11. First treatments are wound debridement, splinting with rigid wire and composite splint, and selective grinding. Panoramic references and prescribing antibiotics and analgesics. Post-action instructions include maintaining oral hygiene, soft diet, radices removal, and return for splinting control. Treatment results show good soft and hard tissue healing.

Conclusion: Rigid wire and composite splint are one of the most common and easy fixation techniques to treat dentoalveolar fractures. Simple tools and techniques make rigid wire and composite splint a good treatment for simple dentoalveolar fractures.

References

Pastor BS, et al. Treatment and Restoration of Adult Dentoalveolar Trauma: A clinical Case Report. J Clin Exp Dent. 2016;8(5):634-647.

Arbi TA, Novita CF, Mulya. Tingkat Pengetahuan Dokter Gigi Muda terhadap Penanganan Trauma Dentoalveolar di Rumah Sakit Gigi Mulut Universitas Syiah Kuala. Cakradonya Dent J. 2016;8(2):98–104.

Soukup JW, Synder CJ. Traumatic Dentoalveolar and Maxillofacial Injuries in cats : Overview of Diagnosis and Management. J Feline Med Surg. 2014;16(2):915-927.

Samsudin E. Immobilization Tools and Materials Selection in Dentoalveolar Fracture. Padjadjaran Journal of Dentistry. 2007;19(3):119-124.

Samra FMA. Dentoalveolar Injuries Classification - Management Biological Consequences. J Dent Health Oral Disord Ther. 2014;1(4):1-6.

Gurmacher Z, Peled E, Norman D, Lin Shaul. Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis. The Open Dentistry Journal. 2015.119(2) :8-14.

Anthony J. International Association of Dental Traumatology Guidelines for The Management of Traumatic Dental Injuries : 1. Fractures and Luxations of Permanent Teeth. Dental Traumatology. 2012;28(3):2-12.

Oikarinen K. Tooth Splinting : A Review of The Literature and Consideration of The Versatility of A Wire-Composite Splint. Endod Dent Traumato. Finlandia. 1990;6(3): 237-250.

Bakar A. Kedokteran Gigi Klinis. Yogyakarta : Penerbit Quantum Sinergis Media. 2012. p.140.

Croll TP. Bonded Composite Resin/Ligature Wire Splint for Stabilization of Traumatically Displaced Teeth. Quintessence International. 1991;22(1):17-21.

Rossi MD, et al. Management of a Complex Dentoalveolar Trauma: A Case Report. Braz Dent J. 2009;20(3):259-262.


No Supplementary Material available for this article.
Article Views      : 34
PDF Downloads : 21