Oral surgery II: Part 6. Oral and maxillofacial trauma

Key Points

  • Oral and maxillofacial trauma is common and has several aetiological causes.

  • Oral and maxillofacial injuries are especially common in cases of polytrauma, such as road traffic accidents.

  • Initial assessment and care should consist of examining and protecting vital functions and should be carried out systematically.


Oral and maxillofacial trauma can range from an avulsed tooth as a result of a simple fall, to pan-facial injuries in the context of a polytraumatised patient involved in a road traffic accident. Regardless of aetiology, similar principles apply to all oral and maxillofacial injuries, and this chapter broadly outlines the more common forms of oral and maxillofacial trauma and the options available for their management. Throughout the chapter all references and values are for adult patients unless indicated.

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Figure 1: Nasopharyngeal and Guedel airways.
Figure 2: Snellen chart.
Figure 3: Sites of fracture of the mandible.
Figure 4: Differing approaches to reduce fractured zygoma.
Figure 5: Approaches to the zygoma and orbit.
Figure 6


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Correspondence to Tara Renton.

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Durham, J., Moore, U., Hill, C. et al. Oral surgery II: Part 6. Oral and maxillofacial trauma. Br Dent J 223, 877–883 (2017). https://doi.org/10.1038/sj.bdj.2017.995

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