Craniomaxillofacial trauma may seriously affect patients’ lives and a key to the prevention of life time sequelae is the timely and correct care of trauma-related injuries. In the polytraumatized patient, cerebral, thoracic, abdominal and even lesions of extremities may take priority over craniomaxillofacial lesions. Nevertheless, craniomaxillofacial injuries deserve the highest standard of care.
The desired long-term outcome following dentoalveolar trauma strongly depends on an appropriate pre-hospital management, implementing preventive measures to rescue avulsed teeth, tooth fragments, etc.
Hospital care should include acute phase dental treatment with the aim of limiting damage for later definitive treatment. Later restorative or prosthodontic treatment options have to be considered. Whereas craniomaxillofacial injuries treated according to current AO principles promote return to a normal looking face, uncompromised eyesight, hardly visible scars, normal occlusion, unlimited jaw motion, dental injuries, if not dealt with in an appropriately, may stigmatize the patient for the rest of his/her life. The craniomaxillofacial surgeon should address dentoalveolar trauma with appropriate attention, not least to the patient’s occlusion and smile. Rigid fixation techniques ...
The purpose of this AO Surgery Reference module is to indicate the principles of dentoalveolar trauma management that the patient may leave hospital in the best possible condition. The interface between hospital and dental care differs in practice from country to country, for which reason the recommendations in this guide are not directed towards specific health care systems.
In cases where the injury has occurred outdoors and the wound is contaminated with soil, tetanus prophylaxis should be considered.