Quinto José Henrique Santana, Bachesk Andressa Bolognesi, Nogueira Lucas Costa, Filho Liogi Iwaki
Department of Dentistry, Oral and Maxillofacial Surgery, São Paulo University, Ribeirão Preto, São Paulo, Brazil.
Department of Dentistry, Oral and Maxillofacial Surgery, State University of Maringá, Maringá, Paraná, Brazil.
Craniomaxillofac Trauma Reconstr. 2022 Jun;15(2):169-174. doi: 10.1177/1943387521990283. Epub 2021 Mar 1.
The prevalence of dentoalveolar injuries in children is approximately 25%, with falls from own height being one of the main etiologies. Diagnosis is based on the clinical evaluation associated with complementary imaging tests. The treatment of choice depends on the type of damage and structure affected. For alveolar process fractures, closed reduction and semi-rigid dental splinting for 4 to 6 weeks is generally satisfactory. However, some cases, such as severe segmental fractures, require open treatment to ensure adequate reduction and stabilization of the displaced alveolar segment, which is usually achieved by titanium miniplates and screws. Nevertheless, there are situations where this type of fixation is not possible, requiring alternative methods. Therefore, this article describes a surgical technique performed by open reduction, associating semi-rigid dental splint and circummandibular wiring in pediatric patient diagnosed with dentoalveolar fracture through clinical examination (with bone fracture displacement) and tomography. The technique promoted a good prognostic to the patient, proving to be a viable alternative for treating dentoalveolar fractures.
儿童牙牙槽损伤的患病率约为25%，从自身高度跌落是主要病因之一。诊断基于与补充影像学检查相关的临床评估。治疗方法的选择取决于损伤类型和受影响的结构。对于牙槽突骨折，通常进行4至6周的闭合复位和半刚性牙弓夹板固定，效果一般令人满意。然而，一些病例，如严重的节段性骨折，需要开放治疗以确保移位牙槽段的充分复位和稳定，这通常通过钛微型钢板和螺钉来实现。尽管如此，在某些情况下无法进行这种类型的固定，需要采用替代方法。因此，本文描述了一种通过开放复位进行的手术技术，并将半刚性牙弓夹板和下颌周围结扎术应用于经临床检查（有骨折移位）和断层扫描诊断为牙牙槽骨折的儿科患者。该技术对患者预后良好，被证明是治疗牙牙槽骨折的一种可行替代方法。
