Trauma of face bones and jawbone

The injuries of the maxillofacial region include:
Injuries of soft tissue of the face and head,
Injuries to soft tissue of the oral cavity,
Fractures of face bones and skull,
Fractures of jaw,
Traumatic teeth extractions.

The nature of injuries of the maxillofacial region
There is a whole range of options and ways that could cause injury to this region. Car accident, accidental falls, sports injuries, fights, injuries at work are just some of the many ways of occurrence.

The injuries can be from broken teeth to complex and comprehensive injuries to the soft and bone tissue of the face. They are classified according to the type of tissue that has been injured. For example soft tissue (skin, gums), bone, or region affected by the injury, such as eyes, salivary glands, etc.

Soft tissue injuries of the maxillofacial region
When it is about a soft tissue injury like a cut, it recovers immediately, by sewing the wound, for the best cosmetic effect on the face and neck. Crush injuries are left for the period of treatment only after the possibility of complications that can jeopardize the patient is eliminated.

Bone injuries of the maxillofacial region
Facial bone fractures are treated in a more or less identical way, as well as bone fractures of some other parts of the body.

A specific way of treatment is determined by a variety of factors, which include the fracture localization, its nature, age, and the general condition of the patient. When the arm or leg is broken, the gypsum that immobilizes is most commonly placed and allows the healing. Since gypsum cannot be placed on the face, other methods have been found that enable the bone to stabilize.

One of them involves linking the upper and lower jaws, one for the other, with wires in some types of fractures, while in others it requires surgical placement of the mini plate and screwing to the fracture segments. This method allows the jaws not to be bound during the healing period and is called a “rigid fixation” of the fracture.

The development of fracture treatment in this way has greatly improved the recovery period for many patients, allowing them to return to normal functioning in a relatively short time.

The treatment of bone fracture treatment should take place in a predictable way. All approaches to face bones should be carried out through only a few cuts that must be made in the right places and at the same time, if possible and well hidden.

Injuries of this type are repaired in the way that the injured teeth are immobilized in such a way that with the aid of wire and adhesive substances they are bound to adjacent teeth. The knocked out tooth should be kept in salty water or milk until the time of replantation.

Damage of teeth and surrounding structures
Isolated teeth injuries are fairly common and often. Oral surgeons are often able to work with replantation of knocked out teeth and repair the fractures of parts of the bones that are injured in the act.

The sooner the tooth returns to the gums, it gives more chances for a better recovery. It is never necessary to try to separate the injured tooth completely from the bearing if it has remained hanging on a couple of string structures because those are ligaments that hold the tooth in the jaw and are crucial for the success of the replantation.

In cases where the injured tooth cannot be saved, the dental implant is the best replacement for a natural tooth.


Word of doctor

PhD Milica Čelebić

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