Dice W H, Pryor G J, Kilpatrick W R
Ann Emerg Med. 1982 Oct;11(10):541-5. doi: 10.1016/s0196-0644(82)80427-7.
A case of facial cellulitis complicating a luxation injury of the right central maxillary incisor is reported in a pediatric patient. The initial impression in the emergency department was that of a fractured tooth. In spite of radiographic studies and appropriate consultations, the true intrusion injury was not appreciated. A periodontal infection developed as a result of the damaged periodontal ligament and alveolar bone. Contiguous spread of the infection to the facial tissue requiring hospitalization resulted in patient morbidity. Extraction of the tooth and penicillin therapy resulted in an uneventful recovery. Because oral trauma is a frequent reason for emergency department visits, this case is presented to facilitate the recognition of dental injury and encourage appropriate therapy.
本文报告了一例小儿患者，右侧上颌中切牙脱位损伤并发面部蜂窝织炎。急诊科的初步诊断为牙齿骨折。尽管进行了影像学检查并进行了适当的会诊，但真正的嵌入性损伤并未被识别出来。由于牙周韧带和牙槽骨受损，发生了牙周感染。感染蔓延至面部组织，导致患者发病，需要住院治疗。拔牙和青霉素治疗后，患者顺利康复。由于口腔创伤是急诊科就诊的常见原因，故介绍此病例以促进对牙损伤的认识，并鼓励进行适当的治疗。
