ISM (Intisari Sains Medis) : Jurnal Kedokteran
Vol. 9 No. 2 (2018): (Available online: 1 August 2018)

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

Firstyananda W (Resident Oral and Maxillofacial Surgery Faculty of Dentistry, Padjadjaran University and Hasan Sadikin General Hospital)
Sjamsudin E (Staff of Oral and Maxillofacial Surgery Faculty of Dentistry, Padjadjaran University)



Article Info

Publish Date
05 Jun 2018

Abstract

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.

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Journal Info

Abbrev

ism

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology

Description

Intisari Sains Medis is published by Medical Scientific Community, Indonesia. Intisari Sains Medis is an international, multidisciplinary, peer-reviewed, open access journal accepts papers for publication in all aspects of Science Digest, Medical Research Development, Research Medical Field and ...