Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis

Gutmacher, Zvi; Peled, Eli; Norman, Doron; Lin, Shaul

doi:10.2174/1874210601711010008

Cited by 15 publications

(16 citation statements)

References 31 publications

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“…Tissue damage to the oral cavity can include tooth tissue damage, periodontal tissue damage and alveolar bone damage. Alveolar bone damage can be caused by trauma, tumors, congenital abnormalities, infection and bone retraction [1]. In addition, bone damage can also be found in several diseases, like rheumatoid arthritis, osteoporosis and osteolysis [2].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Incorporation Platelet Rich Plasma into Gelatine Hydrogel Scaffold between Impregnated and Drop Method

Mahanani

Ulzanah²

2021

BIO Web Conf.

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Tissue Engineering which involve three main component such as scaffold, platelet-rich plasma (PRP) and cells is expected to support in bone regeneration. Gelatin hidrogel scaffold is planted have a function as cell environment and PRP provide growth factor to support differentiation of cells. The success of tissue engineering is affected by number of PRP which is contained in scaffold. The purpose of this study is to compare the incorporation process between impregnated and drop method to gelatin hidrogel scaffold. PRP was prepared from three donors of whole blood, and twice sentrifugation by 450 rcf for 5 minutes and 1500 rcf for 7 minutes. PRP was incorporated into 3 gelatin hidrogel scaffolds for each methods. The remnant of PRP which didn’t incorporate were calculated the number of platelet with giemsa stainning. Platelet which loaded were the reduction result of number platelet before incorporate with platelet remnant. Data of the result were analyzed using independent sample t test. Result show the significant was 0.262 (p>0.05) there’s no significane different between impregnated and drop method for incorporating PRP into gelatin hidrogel scaffold. The number of platelet which incorporated in gelatin hidrogel scaffold were effected by characteristic of scaffold such as structure, interface adherence, porosity and swelling ability. The good characteristic of scaffold could be obtain from synthesis and good fabrication technique.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Incorporation Platelet Rich Plasma into Gelatine Hydrogel Scaffold between Impregnated and Drop Method

Mahanani

Ulzanah²

2021

BIO Web Conf.

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“…6 Alveolar bone fractures involve approximately 5.5% of dental injuries, 7 and they can cause complications in patients who suffer dental trauma. 5 The treatment for alveolar bone fractures recommended by the International Association of Dental Traumatology (IADT) involves repositioning the fragment and splinting for 4 weeks. To treat lateral luxation, the recommendation has been to use a flexible splint for 4 weeks.…”

Section: Introductionmentioning

confidence: 99%

“…There are several types of trauma to the face that can affect the tooth structure and the supporting tissues 4 . Lateral luxation is an injury that also causes fracture of the alveolar process 5 . This occurs after severe trauma such as motorcycle, bike, or car accidents and violence 6 .…”

Section: Introductionmentioning

confidence: 99%

Fractured alveolar process displacement evaluation—Effect of the rigidity of wire‐composite splints

Paz

Soares

Rodrigues

et al. 2020

Dental Traumatology

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Backgrounds/Aims Traumatic dental injuries with bone fractures require rigid splinting. The degree of rigidity of the wire‐composite splints can be challenging. The aim of this study was to evaluate the effect of the rigidity of different wire‐composite splints on alveolar process displacement. Material and Methods A model was created using polystyrene resin to simulate the anterior maxilla, bovine incisors to simulate maxillary incisors, and polyether impression material to simulate the periodontal ligament. An alveolar process fracture was created, while maintaining the labial bone connection with the PDL. Four wire‐composite splints (0.3, 0.6, 0.9, and 1.2 mm in diameter) were compared with models without splints and with no fracture (n = 5). The alveolar process displacement was measured (3 times per model/per splint type) at the fractured and adjacent central incisor regions using a deflectometer (Instron) under functional cycling and static loading (100 N). Data (μm) were analyzed using RM ANOVA, followed by Tukey's HSD test (α = 0.05). Results The displacement at the region of the adjacent incisor was not influenced by the splint during static and cycling load (P > .05). The Tukey test demonstrated that the model without splints had significantly higher alveolar process displacement at the traumatized teeth than that of all other splint models (P < .001). Increasing the wire diameter from 0.3 mm to 0.9 mm significantly reduced the alveolar process displacement (P < .001). No difference was observed between the 0.9 mm (P = .123) and 1.2 mm (P = .219) wire‐composite splints irrespective of the measured tooth regions. Conclusions The rigidity of the wire‐composite splint significantly influenced the mobility of the fractured alveolar process. The use of at least 0.9 mm wire was effective in reducing the fractured alveolar process displacement to a level that was similar to the adjacent teeth.

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“…Pulp necrosis may occur around the root region. 6 In 2003 until 2005 at the dentoalveolar trauma center of Pontifical Catholic University, Parana, Brazil, the dentoalveolar trauma case became one of the most serious problems in dentistry with an incidence prevalence of 647 patients. Results of Indonesia Basic Health Research show that the prevalence of trauma in 2004 (56.818 cases) and increased in 2005 (72.281 cases).…”

Section: Introductionmentioning

confidence: 99%

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

Firstyananda

Sjamsudin

2018

Intisari Sains Medis

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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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Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis

Cited by 15 publications

References 31 publications

Efficacy of Incorporation Platelet Rich Plasma into Gelatine Hydrogel Scaffold between Impregnated and Drop Method

Efficacy of Incorporation Platelet Rich Plasma into Gelatine Hydrogel Scaffold between Impregnated and Drop Method

Fractured alveolar process displacement evaluation—Effect of the rigidity of wire‐composite splints

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

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