Abstract
Background: Trauma and injury to teeth and their supporting tissues often occur in cases of oromaxillofacial trauma. Oromaxillofacial trauma is found in 15% of all emergencies, with dentoalveolar trauma involvement in 2% of these cases. Objective: Management of dentoalveolar fractures with minor head injuries. Case: A 53-year-old man, traumatized by a single motorcycle accident and hit by a wooden board with his face hit first. The patient was unconscious shortly after the accident, then complained of pain in the lower lip and gums, teeth 11, 21 avulsed, 12, 22, 31, 21, 41, 42 mobile, and headache. Management: The inspection and handling of the airway was not carried out because it had been previously handled at Puskesmas. The patient was consulted on the Neurosurgery Department for a history of loss of consciousness, then under general anesthesia, definitive care was performed by attaching the eyelet splint to fix the anterior maxillary teeth, and fixation with Erich arch bar for the lower anterior teeth. Conclusion: Interdental wiring is an intraoperative fixation technique for dentoalveolar trauma, accompanied by eyelet splint and Erich arch bar. Patients with head trauma should be consulted to a neurosurgeon before definitive measures are taken.
Highlights
Trauma and injury to teeth and their supporting tissues often occur in cases of oromaxillofacial trauma
Gigi geligi pada rahang atas merupakan daerah terbanyak (82%) yang mengalami trauma dengan rincian insisivus sentralis (64%), 15% insisivus lateralis (15%), dan kaninus (3%)
RV, Barber HD, Powers MP, Frost DE, editor
Summary
Trauma and injury to teeth and their supporting tissues often occur in cases of oromaxillofacial trauma. Gigi geligi goyang atau terlepas, kerusakan jaringan lunak seperti edema, kontusio, abrasi, laserasi dan avulsi.[1] Keterlibatan gigi dan jaringan pendukungnya sering tejadi pada pasien trauma, diperkirakan sekitar 15% darisemuapasienkegawatdaruratan, dan2% dari kasus tersebut melibatkan dentoalveolar.
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