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口腔颌面外科学0502(国外英语资料)
口腔颌面外科学0502(国外英文资料)
Fourth cases of hard tissue trauma in oral and maxillofacial region
(I) fracture of alveolar process
Alveolar fracture is often the external force (such as collision) directly to the alveolar caused in anterior maxilla, may occur alone, also can happen at the same time with other maxillofacial injury, but also can be a linear comminuted fracture. Clinically, fractures of the alveolar process are often associated with swelling and tear of the lips and gums, loose teeth, broken teeth or falling teeth. When a tooth is shaken, adjacent teeth and fracture fragments can be seen to move. The fracture of the fracture can be displaced and cause dislocation of the teeth.
The treatment should be in alveolar and teeth under local anesthesia will be reset to the normal anatomical position, and then choose the adjacent teeth on both sides of the solid retainer, fixed with dental splint, wire and orthodontic edgewise method. Care should be taken to secure at least 3 normal teeth across the fracture line.
(two) jaw fracture;
The incidence of jaw fracture accounts for about 35% of maxillofacial injuries, and traffic accidents are the main causes. It has common characteristics of common fractures, such as bleeding, swelling, pain, displacement, paresthesia, and dysfunction. Due to the characteristics of anatomical structure and physiological function, the clinical manifestations and treatment of fractures and other parts of the body and not the same, the biggest difference is the formation of occlusion on mandibular fracture, improper treatment will affect the masticatory function.
1. anatomical features: the mandible occupies 1 / 3 of the surface and 1 / 3 of the facial surface. It has large area, prominent location and high incidence of fracture. Mandibular fracture site often associated with anatomical structure, such as the joint Department, the mental foramen, mandibular angle and condylar neck fracture belongs to the weak area and therefore become a good sit
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