Dental Trauma and Alveolar Fractures

Jungsuk Cho; Alex Sachs; Larry L Cunningham Jr

doi:10.1016/j.fsc.2021.08.010

Dental Trauma and Alveolar Fractures

Facial Plast Surg Clin North Am. 2022 Feb;30(1):117-124. doi: 10.1016/j.fsc.2021.08.010.

Authors

Jungsuk Cho¹, Alex Sachs², Larry L Cunningham Jr³

Affiliations

¹ Temple University School of Dentistry, 3223 North Broad Street, Philadelphia, PA 19140, USA.
² University of Pittsburgh Department of Oral and Maxillofacial Surgery, School of Dental Medicine, 3501 Terrace Street, G-32 Salk Hall, Pittsburgh, PA 15261, USA.
³ University of Pittsburgh Department of Oral and Maxillofacial Surgery, School of Dental Medicine, 3501 Terrace Street, G-32 Salk Hall, Pittsburgh, PA 15261, USA. Electronic address: lac229@pitt.edu.

PMID: 34809882
DOI: 10.1016/j.fsc.2021.08.010

Abstract

A dentoalveolar fracture requires thorough clinical and radiographic examination for an accurate diagnosis to guide appropriate treatment. Dentoalveolar fractures can be classified into the following 4 groups: (1) crown/root fractures, (2) luxation/displacement of teeth, (3) avulsion, and (4) alveolar fractures. Treatment can be divided into nonrigid fixation (splinting with wires and composite) and/or rigid fixation (Erich arch bars, Risdon cable wires) depending on the extent of dentoalveolar fractures. Special considerations must be made for primary teeth and mixed dentition to avoid injuring tooth buds and arising permanent dentition.

Keywords: Alveolar fracture; Avulsion; Dental trauma; Dentoalveolar fracture; Erich arch bars; Luxation; Maxillomandibular fixation; Risdon cable wire.

Publication types

Review

MeSH terms

Humans
Skull Fractures*
Tooth Avulsion*
Tooth Fractures*