Management Dentoalveolar Fracture with Simple Wiring in Mild Head Injury : A Case Report

Abstract

Introduction: Maxillofacial trauma generally involves injury to soft or hard tissue of the face and oral cavity. One of the hard tissue injuries to the oral cavity is dentoalveolar injury such as the luxation and avulsion of the anterior teeth. Management of dentoalveolar injury can be done by reduction and immobilization using splinting. The technique of splinting dentoalveolar fractures in patients with mild head injuries can use simple wiring with consider to short-duration treatments. Case Report: A case report will be reported from the Oral and Maxillofacial Surgery Department of Dr. Hasan Sadikin-Bandung, a 54 year old man came to the Emergency Room of Hasan Sadikin Hospital with bleeding from his mouth due to a motorcycle accident and the patient's face hit the asphalt first. The results of the examination showed that the patient had a dentoalveolar fracture in teeth 11 and 21, had 2 degree luxation and the patient had mild head injuries. Discussion: The patient suffered a mild head injury, confirmed by the Head CT Scan examination and there were injuries to the soft and hard tissues. The patient have soft tissue injuries with  vulnus laceratum in the upper and lower lip regions, vulnus laceratum was also found in the gingiva in areas 11-21 and was then treated using suturing the simple interrupted method. The dentoalveolar fracture that affected 11-21 accompanied by 2 degrees of mobility was managed by simple wiring using the essig method. Conclusion: Dentoalveolar fractures in patients with mild head injuries can be used with a simple wiring approach with the essig method, this is taken by considering treatment is simple.