engleski

From maxillofacial trauma to facial function and aesthetics through various specialists procedures

The incidence of maxillofacial trauma varies depending on a specific geographic area, gender, age, and the etiology is multifactorial. During a direct blunt-hard impact with a stronger force, injuries to hard tissues and the formation of lacerocontusive wounds occur. Often, treatment of such injuries involves various therapeutic procedures of different dental specialists for the purpose of restoring function and aesthetic reconstruction. After losing consciousness and falling, with a diagnosis of superficial head injury, pain in the mental region, abrasions and a lacerocontusion wound of the lower lip were diagnosed. A diagnosis of complicated fracture of the crown of tooth 12 and subluxation of tooth 11 was made. Radiologically, a fracture line was established in the area of the alveolar ridge of the maxilla in the region 11-13, with mild mobility of the region clinically present. After the one-visit endodontic treatment of tooth 12, an immobilization wire-composite splint (13 – 22) was placed. Due to the pain and mobility, after 14 days a one-visit endodontic treatment was performed on tooth 11. One month after the injury, the immobilization splint was removed. Orthodontic therapy was performed in order to prepare tooth 12 for post-endodontic prosthetic restoration. One month after the injury, the soft tissues have completely regenerated. Three months after the injury, no mobility of the region 11-13 or the fracture line of the alveolar ridge was clinically detected. The result of orthodontic therapy is a sufficient dental structure for adequate prosthetic therapy.Tooth injury (luxation, fracture) is a frequent finding in dentoalveolar fractures caused by impact. The application of multidisciplinary diagnostic and therapeutic procedures for the purpose of patient rehabilitation enables the restoration of function and aesthetics of traumatized structures and tissues

dentoalveolar trauma ; tooth crown fracture ; tooth subluxation ; alveolar crest fracture

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