Management‌ ‌of‌ ‌dentofacial‌ ‌trauma‌ ‌in‌ ‌an‌ ‌adolescent‌ ‌patient:‌ ‌The‌ ‌ conservative‌ ‌and‌ ‌the‌ ‌preservative‌ ‌approach‌

A. Rai, B. Koirala, M. Dali, S. Shrestha
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Abstract

Mandibular fractures are one of the most frequent occurrences in maxillofacial trauma. Age of the patient, presence of additional injuries, co-morbid diseases of the patient, trauma type, and localization of the fracture must be considered while choosing the treatment strategy. A 12-year-old female patient reported with the complaint of fallen teeth due to trauma three days back. Clinical and radiographic findings revealed symphysis fracture with left sided parasymphysis and subcondylar fracture along with avulsion of 11 and 21. Intermaxillary fixation was done with Erich arch bars and elastics for the management of mandibular fracture, and rehabilitation of edentulous space was done using the avulsed teeth as pontics which were bonded to the adjacent abutment teeth using fiber-reinforced composite.
管理、护理、护理、护理、护理、护理、护理、护理、护理、护理、护理等
下颌骨折是颌面部外伤中最常见的一种。在选择治疗策略时,必须考虑患者的年龄、是否有其他损伤、患者的合并症、创伤类型和骨折的定位。一名12岁的女性患者三天前报告因外伤导致牙齿脱落。临床和x线表现显示联合骨折伴左侧副关节和髁下骨折伴11和21撕脱。下颌骨骨折采用Erich弓棒和弹性材料进行上颌间固定,无牙间隙修复采用撕脱牙作为桥架,并采用纤维增强复合材料与相邻基牙结合。
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