Silfen R, Amir A, Hauben D J, Calderon S
Department of Plastic and Reconstructive Surgery and Burn Unit, Rabin Medical Center, Beilinson Campus, 49100, Petah Tikva, Israel.
Burns. 2001 Jun;27(4):409-12. doi: 10.1016/s0305-4179(00)00129-7.
Pressure garments are commonly used to prevent and control hypertrophic scar tissue. Complications are unusual, though in children with facial burns, pressure garments may lead to skeletal and dental deformities. Studies in adolescents and adults are sparse. We describe a 24-year-old woman who sustained facial burns. Prior to injury, the patient had undergone premolar extraction in preparation for orthodontic treatment. Her post-burn care consisted of application of a Jobst pressure garment. After 2 months treatment, severe deformation of the dental-alveolar structure was observed. This reports suggests that adults after dental extraction are at a high risk of dental-alveolar deformities from pressure garments and might benefit from the use of occlusal wafers.
