Менаџирање на Комбинирана дентална траума – приказ на случај

Simonovska, Jasna and Zabokova-Bilbilova, Efka and Jurukovska Sotarovska, Vesna and Petkov, Marjan and Radeska, Elena and Trpevska, Vesna (2024) Менаџирање на Комбинирана дентална траума – приказ на случај. In: II Macedonian Pedodontic Congress, 30 May - 01 June 2024, Skopje.

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Abstract

Introduction: Dental trauma has a high prevalence, mainly among young patients. It can
eventually lead to tooth loss, malocclusion, affecting the individual’s self-esteem and social
relationships and therefore it is considered a public health problem.
Aim: The objective of this clinical case is to demonstrate the consequences of an avulsed
permanent tooth, fracture of alveolar maxillary bone and its treatment.
Case report: A 14-year-old boy visited a University Dental Clinic in Skopje, 2 days after a car
accident. He had a head injury and didn’t know that he lost his teeth. Clinical and radiographic
examination revealed the presence of a three avulsions of maxillary (tooth 11, 21) and
mandibulary tooth (32), fracture of maxillar bone. The intraoral examination revealed that the
maxillary permanent central incisors were avulsed with lacerations of the soft tissue of gingiva
accompanied by fracture of the maxillary bone. Increased luxation was observed in the lateral
left maxillar incisor, due to the lack of an alveolar ridge and a rigid splint involving the maxillary
incisors was used. In consultation with the oral surgeons, therapy was suggested by application
of an epithelization-promoting gel on the soft tissue. Two weeks after injury, sequesters were
observed and removed. The splint was removed after 3 weeks, and tooth 22 remained in the oral
cavity without any major luxation. The orthodontists splinted the teeth 22, 23 and 24 for better
retention and made a Hawley appliance with artificial teeth (11 and 21).
Conclusion: This clinical case report served to demonstrate that careful and continuous clinical
assessment is necessary to monitor progress and determine the prognosis for a favorable healing
outcome after dental trauma. The primary approach in the clinical treatment of children and
adolescents with traumatic dental injuries should be aimed at supporting the recovery potential
in their developing dentoalveolar tissues.

Item Type:	Conference or Workshop Item (Poster)
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Vesna Trpevska
Date Deposited:	04 Oct 2024 12:35
Last Modified:	04 Oct 2024 12:35
URI:	https://eprints.ugd.edu.mk/id/eprint/34278

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