Bones heal, teeth don't! The involvement of dentists in the acute and long-term management of patients injured in the Manchester Arena Bomb

Key Points

  • Suggests that dental health is important to patients, even in the context of other multisystem trauma. It aids physical and psycho-social recovery.

  • Highlights that multidisciplinary management is vital in providing patients with holistic care.

  • Demonstrates how continued and particularly immediate involvement of paediatric dentistry helped to mitigate long-term dental complications. This reduced the likelihood of pain and general anaesthetic burden for dental treatment and their associated morbidity.

Abstract

This paper outlines the involvement of dentists in the treatment of patients following the terror attack at Manchester Arena on 22 May 2017. It predominantly describes the role of the authors – a paediatric dental consultant and maxillofacial surgery dental core trainee (DCT). As a result of the incident a number of patients suffered oro-facial injuries, with many treated at Central Manchester Foundation Trust Hospitals' Manchester Royal Infirmary and Royal Manchester Children's Hospital. The major incident response of the trust is discussed, as are the presentation of blast injuries and corresponding NHS guidance. Two paediatric cases present the role of the paediatric dental consultant in the acute, intermediate and long-term management of these patients. The presentation of unique dento-alveolar injuries in the context of other trauma and their subsequent treatment demanded true multidisciplinary management. The importance of teeth and oral health to physical and psycho-social wellbeing and recovery was clear and recognised by other teams involved in the patients' management. The experience reinforced the overall impact dental health has on physical and psycho-social health, and how a holistic approach is integral to treatment of major trauma.

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References

  1. 1

    BBC. Manchester attack: What we know so far. 2017. Available from http://www.bbc.co.uk/news/uk-england-manchester-40008389 (accessed April 2018).

  2. 2

    Telegraph Reporters. Manchester bomb made to kill as many as possible, inquest hears. The Telegraph, 2017. Available at https://www.telegraph.co.uk/news/2017/06/09/manchester-bomb-made-kill-many-possible-inquest-hears/ (accessed April 2018)..

  3. 3

    Shuker S T . Facial Skin-Mucosal Biodynamic Blast Injuries and Management. J Oral Maxillofac Surg 2010; 68: 1818–1825.

    Article  Google Scholar 

  4. 4

    Thompkins A . Blast Injuries. Royal College of Emergency Medicine. 2013. Available from https://www.rcemlearning.co.uk/references/blast-injuries/# (accessed April 2018).

  5. 5

    Department of Health. NHS Emergency Planning Guidance 2005: Planning for the management of blast injured patients. Department of Health, 2007. Available at http://webarchive.nationalarchives.gov.uk/20080817111327/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_081506 (accessed April 2018).

  6. 6

    Katz-Sagi H, Gozal D, Ram D . Dental treatment of a 2 year old victim of a suicide bomb attack. Dent Traumatol 2007; 23: 318–321.

    Article  Google Scholar 

  7. 7

    Gataa I S, Muassa Q H . Patterns of maxillofacial injuries caused by terrorist attacks in Iraq: restrospective study. Int J Oral Maxillofac Surg 2011; 40: 65–70.

    Article  Google Scholar 

  8. 8

    Shuker S T . Maxillofacial blast injuries. J Craniomaxillofac Surg 1995; 23: 91–98.

    Article  Google Scholar 

  9. 9

    Shuker S T . The effect of a blast on the mandible and teeth: transverse fractures and their management. Br J Oral Maxillofac Surg 2008 46: 547–551.

    Article  Google Scholar 

Download references

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Correspondence to L. Timms.

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Timms, L., May, J. Bones heal, teeth don't! The involvement of dentists in the acute and long-term management of patients injured in the Manchester Arena Bomb. Br Dent J 224, 681–688 (2018). https://doi.org/10.1038/sj.bdj.2018.353

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