Abstract
Alveolodental trauma is frequent, especially in children, and a quick and precise diagnosis associated with an adequate management is the guarantee of good outcomes. The treatment of alveolodental trauma must comply with the guidelines; this treatment is based on reduction, immobilization and monitoring, immobilization can be achieved by rigid or flexible means. Rigid means lead to more complications, on the healing and on the dental and periodontal structures, flexible means allow a physiological movement of the teeth what favors the healing, here we presented a case of severe damage caused by an Erich arch bars neglected for 11 years, and which was set up initially in a 7 years old child under local anesthesia, as a means of rigid immobilization of a maxillary and mandibular alveolodental fracture. The latest publications emphasize the psychological impact of these traumas on children and their families, and the need for support and reassurance. The latest guidelines of the international association of dental trauma recommend flexible splints for all types of alveolar trauma including alveolar fractures.
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