maxillary tuberosity fracture
Bulbous roots or reurved roots that embrace the inter-radicular bone may be the cause of this complication. Splinting with arch bars or immobilization.
Image From Http Image Slidesharecdn Com 06 Appendicular Skeleton Pectoral Girdle And Upper Limbs 1 Human Anatomy And Physiology Anatomy Bones Medical Anatomy
Routine treatment of the large maxillary tuberosity fractures is to stabilize the mobile part s of bone with rigid fixation techniques ie.
. Maxillary tuberosity fracture is a potential complication of routine exodontia of posterior maxillary teeth. If a small bony fragment is affected the extraction of the tooth and tuberosity continues. Should be replaced and allowed to heal by secondary intention.
1 - and 31. 3 the ideal therapeutic goal of management of maxillary tuberosity fracture is to salvage the fractured bone and to fix it in place and provide the best environment for healing. We present a case of life-threatening haemorrhage complicating a tuberosity fracture during simple extraction of a maxillary.
Maxillary Fractures diagnostic imaging Maxillary Fractures etiology Maxillary Fractures surgery Postoperative Complications Radiography. Factors of maxillary tuberosity fractures during the extraction of upper molars discuss the procedures that need to be taken when small or large fractured fragments of the tuberosity are evident during surgery and suggest appropriate recommendations. 4 however due to.
Two cases are described in which maxillary sinus involvement and tuberosity fracture were encountered during tooth extraction. However if the tooth is infected or symptomatic at the time of the tuberosity fracture the extraction should be continued by loosening the gingival. The maxillary tuberosity can fracture during extraction of a molar tooth.
A tuberosity fracture can prevent or delay the timely delivery of the most appropriate treatment option for a maxillary molar. This is a relatively common complication but should not prevent treatment in general practice provided the clinician has adequately risk assessed planned and obtained informed consent. Maxillary tuberosity is especially important for the stability of maxillary dentures.
Routine treatment of the large maxillary tuberosity fractures is to stabilize the mobile parts of bone with one of rigid fixation techniques for 4 to 6 weeks. Fractures of the maxillary tuberosity should be viewed as severe complications. Removal of maxillary third molar is associated with a lower rate of complication compared to the mandible and maxillary tuberosity fracture or ophthalmologic complications after removal of maxillary third molar are very rare.
Another possible cause is invasion of the tuherosity by the antrum which is common when an isolated maxil-lan molar is present Attempts to twist or manipulate the tooth and frac-. Following adequate healing a surgical extraction procedure may be attempted. The etiologic factors responsible for fractured maxillary tuberosity during extraction of upper molars are a large maxillary sinus with thin walls a tooth with large divergent roots or an abnormal number of roots and dental anomalies such as tooth fusion tooth isolation over-eruption ankylosis and hypercementosis of upper molar teeth.
It becomes apparent that the size of the fragment varies immensely ami that tlie Vifl. Fracture of a large portion of the bone in the maxillary tuberosity area is a situation of special concern. This study is based on a thorough literature review.
May result in fracture of the maxillary tuberosity. The major therapeutic goal of management is to salvage the fractured bone by main- taining it. A maxillary tuberosity fracture is a rare complication which poses a serious surgical and prosthetic problem.
It is desirable that a correct order be followed in multiple extractions to ensure that the maxillary tuberosity receives maximum support. On rare occasions such a complication can result in torrential haemorrhage due to the close proximity of significant vessels to the area. Complication of extraction ranges from periodontal injury to fracture of jaw in the mandible and fracture of tuberosity and oroantral communication in.
Large fractures of the maxillary tuberosity should be viewed as severe complications. The major therapeutic goal of management is to salvage the fractured bone by maintaining it in place and. The aim of this paper is to show the surgical therapeutic approach to the treatment of the maxillary tuberosity fracture occurred during extraction of the maxillary second molar.
Oral Surg Oral Med Oral Pathol. If there is a large maxillary tuberosity fracture the aim is to salvage the fractured bone in place and to provide the best possible environment for healing. In case of extraction of maxillary molars if maxil- lary tuberosity also fractures the fractured bone.
Should be fixed by transosseous wiring or bone Plating. After performing the dissection of the soft tissues immediate removal of the small fractures including the tooth. Fractures of the maxillary tuberosity is of great concern as the maxillary tuberosity is vital towards the stability of maxillary dentures.
However a conservative approach is advised if the bony fragment is large. Fractures of the maxillary tuberosity occurring during tooth extraction. Should be replaced and retained by primary suturing of soft tissues.
In a modified blind surgical technique the tooth is removed without the fractured bone. DIAGNOSIS From a study of specimens of fractured tuberosities Fis. The fracture is observed during extraction as.
Upon discovering that a maxillary tuberosity has fractured the dentist must first halt the procedure before inadvertent laceration of the adjoining soft tissue occurs and then determine the extent of the fracture by palpating the mobile fragment. Upon discovering that a maxillary tuberosity has. We report maxillary tuberosity fracture and ophthalmologic complications following removal of maxillary third molar.
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