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    Fraktur Dentoalevolar (Yayun)

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    Gea Rahmat
    This document discusses dental fractures and injuries, known as dentoalveolar fractures. It describes different types of fractures including subluxation, extrusion, intrusion, lateral luxation, and avulsion. It provides characteristics of each fracture including descriptions, findings, management, and prognosis. Factors that influence prognosis are discussed such as open or closed apex, gingival laceration, root fractures, and periodontal ligament support. Methods of repositioning displaced teeth and fixation techniques are also summarized.

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    Fraktur Dentoalevolar (Yayun)

    Uploaded by

    Gea Rahmat
    70 views22 pages
    This document discusses dental fractures and injuries, known as dentoalveolar fractures. It describes different types of fractures including subluxation, extrusion, intrusion, lateral luxation, and avulsion. It provides characteristics of each fracture including descriptions, findings, management, and prognosis. Factors that influence prognosis are discussed such as open or closed apex, gingival laceration, root fractures, and periodontal ligament support. Methods of repositioning displaced teeth and fixation techniques are also summarized.

    Original Description:

    FRAKTUR DENTOALEVOLAR untuk pendidikan dokter gigi

    Original Title

    FRAKTUR DENTOALEVOLAR (YAYUN)

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    This document discusses dental fractures and injuries, known as dentoalveolar fractures. It describes different types of fractures including subluxation, extrusion, intrusion, lateral luxation, and avulsion. It provides characteristics of each fracture including descriptions, findings, management, and prognosis. Factors that influence prognosis are discussed such as open or closed apex, gingival laceration, root fractures, and periodontal ligament support. Methods of repositioning displaced teeth and fixation techniques are also summarized.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    70 views22 pages

    Fraktur Dentoalevolar (Yayun)

    Uploaded by

    Gea Rahmat
    This document discusses dental fractures and injuries, known as dentoalveolar fractures. It describes different types of fractures including subluxation, extrusion, intrusion, lateral luxation, and avulsion. It provides characteristics of each fracture including descriptions, findings, management, and prognosis. Factors that influence prognosis are discussed such as open or closed apex, gingival laceration, root fractures, and periodontal ligament support. Methods of repositioning displaced teeth and fixation techniques are also summarized.

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    © All Rights Reserved
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    FRAKTUR

    DENTOALVEOLAR

    Drg YAYUN SITI ROCHMAH SpBM


    FRAKTUR
    DENTOALVEOL
    FRAKTUR
    AR RAHANG
    FRAKTUR
    DENTAL

    FRAKTUR
    DENTOALVEOLAR
    • SUBLUKSASI
    FRAKTUR • LUKSASI
    DENTOALVEO • DISLOKASI
    LAR • FRAKTUR
    MAHKOTA
    • INTRUSI
    • EKSTRUSI
    • AVULSI
    FRAKTUR DENTAL

    RO
    LATERO MEDIAL
    EKSTRUSI INTRUSI VERSI atau
    LABIOLINGUAL
    VERSI
    ETIOLOGI

     KECELAKAAN
     KDRT
     IATROGENIK
    AKIBAT TRAUMA
     KERUSAKAN JARINGAN KERAS GIGI
    (FRAKTUR MAHKOTA)
     KERUSAKAN
    PERIODONTAL(SUBLUKASASI,
    INTRUSI, EKSTRUSI ,DSB)
     KERUSAKAN TULANG ALVEOLAR(
    INTRUSI GIGI DENGAN FRAKTUR
    SOCKET )
     KERUSAKAN GINGGIVA (KONTUSI,
    ABRASI, LASERASI )
     KOMBINASI
    PREDELEKSI
    Karakteristik fraktur dentoalveolar
    Injury Description Findings Management Prognosis
    Minor impact. Slight
    bruising and oedema. Painful: +. Not wobbly. Very good. <5% pulp
    Contussion Standard (see notes)
    Little disruption to Bleeding: none. death.
    pulp/nerves.
    Suture lacerations. May Good. 10% pulp death
    Minor impact.
    Painful: ++. Wobbly: +. need to file opposition at 5 years. (If tooth is
    Disruption to supporting
    Subluxation Bleeding: Gum margin tooth if it causes pain on insensitive at time of
    structures (periodontal
    +. biting. Consider injury, risk increases to
    ligament).
    splinting for comfort. 25%)
    Moderate transverse
    impact. Very wobbly
    Clean any exposed tooth
    but has not left socket. Painful: ++. Wobbly:
    and suture lacerations. 50% risk of pulp death
    Extrusion Significant damage to +++. Bleeding: Gum
    Replace tooth in socket at 5 years.
    supporting structures margin +++.
    and splint 2 weeks.
    and likely damage to
    NV supply.
    Injury Description Findings Management Prognosis
    Normally severe
    anterior transverse
    Painful: +. Wobbly:
    impact, but can occur
    normally immobile.
    with forceful pull of
    Bleeding: ++. Tooth Clean. LA normally
    something the patient
    often not too painful or required to replace
    is biting. Tooth root 50% risk of pulp death
    Lateral Luxation sensitive as there is tooth and bone
    displaces with apex at 5 years.
    loss of pulp fragment. Splintage for
    lodging into labial
    neurovascular supply. 4 weeks.
    alveolar bone fragment
    Sensitivity is a good
    fracture. Tooth
    sign here.
    becomes abnormally
    angulated in socket.
    Uncommon. Severe Painful: +. Wobby: Gradual orthodontic or
    Difficult. Do not
    longitudinal impact. impacted so not surgical repositioning
    attempt manual
    Tooth rammed into wobbly. Bleeding: +. may be required. Pulp
    Intrusion repositioning. Clean
    alveolar bone. ‘Shorter’ tooth; Likely death virtually
    tooth. Suture gum
    Normally associated to be ‘insensitive’ due guaranteed (but tooth
    lacerations.
    with small fractures. to loss of NV supply. may be retained)
    Bleeding: +++ (clot).
    Severe See below and the
    Consider fractures of
    oblique/transverse slides for detail. Time Pulp death is certain so
    the alveolar bone and
    Avulsion impact. Complete loss out of physiologic root canal treatment at
    damage to the other
    of the tooth. Relatively media (dry time) is 1 week. Approx.
    teeth. Examine the
    common. key.
    other teeth carefully.
    PROGNOSIS

     TERBUKANYA AKAR/APEKS GIGI


     INTAK JARINGAN GINGGIVA
     ADA/TIDAKNYA FRAKTUR AKAR
     DUKUNGAN JARINGAN
    PERIODONTAL
    INTRUSI EKSTRUSI

    PROGNOSIS BAIK
    PENATALAKSANAAN ?
     REPOSISI  DILEMBALIKAN KE
    POSISI NORMAL SEBISA MUNGKIN

     FIKSASI  DIPERTAHANKAN
    SAMPAI PROSES PENYEMBUHAN
    BERAKHIR
    REPOSISI

    FIXATION

    DEBRIDEMENT AND
    HECTING
    FIKSASI

    WIRE (ESSIG/STOUT
    TECHNIQUE WIRE+KOMPOSIT
    FIKSASI

    ARCH BAR + WIRE

    FIBER FIXATION

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