Oral surgery II: Part 1. Acute management of dentoalveolar trauma

Key Points

  • The management of injuries is based on fast and accurate diagnosis.

  • General dental practitioners are likely to encounter traumatic injuries at any time.

  • This article acts as an aide-memoire for use in the acute setting to ensure that the correct initial management is carried out, thus ensuring the best possible long-term prognosis.

Abstract

The aesthetics of the mouth are important in determining overall facial attractiveness. People with a relatively normal dental appearance are perceived as more attractive, more intelligent and more desirable as friends.1 Although the oral region comprises only 1% of the body area it accounts for 5% of all bodily injuries, and of facial injuries, dental injuries are the most common.2 A US survey among people aged 6-50 years showed that 1 in 4 had evidence of dental trauma.3

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Figure 5: (a) Extrusive luxation of tooth 21 on the day of injury; (b) Lateral luxation of teeth 11 and 21 presenting 1 day after injury; (c) Intrusive luxation of tooth 11 presenting 3 weeks after injury.
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Tagar, H., Djemal, S. Oral surgery II: Part 1. Acute management of dentoalveolar trauma. Br Dent J 223, 407–416 (2017). https://doi.org/10.1038/sj.bdj.2017.805

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