Fractures Jaw

Question 1

What are the oral and maxillofacial surgery

Answer 1

Pre-Surgical
 Provide prophylaxis / NSPT and OHI
 Discuss food, liquids, alcohol and medication restrictions

Post-Operative
 Written instructions
 Control bleeding, control biofilm
 Rinsing, rest, diet (soft, protein), water
 Pain, swelling

Question 2

What are the causes of a fractured jaw ?

Answer 2

Macrotrauma: alercations and assult
Motor vehicle accidents
Contact sports

Question 3

What are the different types of fractures?

Answer 3

Depends on source, size and direction of force

Mandibular fracture types
 A. Greenstick
 B. Simple
 C. Comminuted
 D. Compound

Le Fort midfacial fractures.
 A. Le Fort I fracture
 B. Le Fort II fracture
 C. Le Fort III fracture

Zygomatic complex fractures.
 A. Frontal view,
 B. Lateral view of isolated fracture
 C. Zygomatic arch fracture in
submental vertex view

Question 4

What are the signs and symptoms of a fractured jaw?

Answer 4

 Deformed, crooked, or shifted mandible
 Painful lump in the mandible or below the ear
 Malocclusion of the dentition
 Loose or missing teeth
 Painful swelling or bruised gingival soft tissue at
site of injury
 Difficulty opening or pain in the TMJ
 Numbness in the chin or lower lip

Question 5

What is the difference between dislocated and fractured jaw?

Answer 5

Dislocated Jaw
* Jaw pain
* Malocclusion
* Inability to close mouth
* Protrusion of the jaw
* Pain limited to auricular area of dislocation
* Pain associated with movement of
temporomandibular joint

Fractured Jaw
* Jaw pain
* Malocclusion
* Difficulty opening or limited jaw movement
* Pain with biting or chewing
* Symmetric abnormality of cheek or jaw
* Numbness, swelling, and/or hematoma at site of trauma
* Hemorrhage from oral cavity

Question 6

What are the emergency care?

Answer 6

Call 911; ABC’s maintained
 Injury secondary to vital body functions
 Increased bleeding, breathing problems
 Skull, neck, or internal head injuries
 Temporary jaw stabilization and immobilization

Question 7

What are the medical management?

Answer 7

Reduction (repair bony fractures)
Fixation

Question 8

What are the dental management?

Answer 8

• diet instructions
• biofilm removal
• irrigation-os consulted

Question 9

What are the oral manifestations?

Answer 9

Tooth mobility
Periodontal pockets
Tooth sensitivity
Root resporption
Dento-alveolar ankylosis
Gingivitis
Demineralization
Caries