The referral and management process of patients sustaining peri-anaesthetic dento-alveolar trauma: an audit

Wilson, Victoria; Barclay, Stewart; Pervin, Samina

doi:10.1038/sj.bdj.2018.224

Cited by 1 publication

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1,2 Trauma oromaksilofasial kadang menjadi kasus yang kompleks sehingga pencegahan komplikasi dilakukan dengan pemeriksaan yang lebih teliti dan konsultasi secara multidisiplin. [5][6][7][8][9] Pemeriksaan klinis dilakukan di seluruh wajah yang terlihat, meliputi regio maksila dan mandibula, regio zigomatikus, regio orbita, sutura frontozigomatikus, prosesus zigomatikus, hidung, telinga, TMJ, dan seluruh daerah intraoral. 2,5,8 Berdasarkan anamnesis, pasien mengalami keluhan nyeri pada kepala, gingiva dan gigi akibat trauma jatuh dari motor.…”

Section: Pembahasanunclassified

“…1,8 Pemeriksaan radiografi dilakukan untuk memperjelas diagnosis klinis, mengetahui letak fraktur dan kondisi lain pada daerah kepala, radiografi panoramik dan CT scan untuk menilai gangguan saraf pasien. 1,2,6,8 Dilakukan informed consent sebelum tindakan sesuai prosedur pemasangan eyelet splint untuk memfiksasi gigi anterior rahang atas, dan fikasi Erich arch bar untuk gigi anterior rahang bawah yang goyang. 1,2,4,5,[8][9][10] Tindakan replantasi pada gigi avulsi 11 dan 21 tidak dilakukan karena pasien/keluarga pasien tidak menemukan gigi yang yang terlepas di tempat kejadian trauma.…”

Section: Pembahasanunclassified

See 1 more Smart Citation

Dentoalveolar fractures with mild head injury

Ritangnga

Tajrin

Fauzi

2020

MDJ

View full text Add to dashboard Cite

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.

show abstract