The Open Dentistry Journal


ISSN: 1874-2106 ― Volume 11, 2017

Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis



Zvi Gutmacher1, Eli Peled2, 3, Doron Norman2, 3, Shaul Lin3, 4, *
1 Department of Maxillofacial Rehabilitation, Rambam Health Care Campus, Haifa, Israel
2 Department of Orthopedic Surgery B, Rambam Health Care Campus, Haifa, Israel
3 The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
4 Endodontic and Dental Trauma Department, Rambam Health Care Campus, Haifa, Israel

Abstract

Aim:

Dental injuries, especially luxation and avulsion, are common. Dental trauma can cause alveolar bone fracture that can lead to tooth loss and malocclusion. Single tooth alveolar bone fractures are difficult to identify unless it protrudes through the overlying mucosa and can be visualized. Pain, malocclusion, and tooth mobility provide signs of suspected alveolar bone fractures. Integrity of the proximate alveolar bone should be examined for fractures where avulsion, luxation, or other tooth trauma is detected. Any suggestion of alveolar fractures should be further investigated with an appropriate radiograph.

Summary:

This case report shows a pathognomonic sign that detects and diagnosis single tooth alveolar bone fractures, i.e., a localized hematoma crossing the attached gingiva from the free gingival margin to the vestibular mucosa. This should serve as a warning for localized alveolar bone fracture.

A visualized hematoma and gentle, careful palpation may help detect covered fractures when the overlying mucosa is not perforated.

Keywords: Alveolar bone fracture, Avulsion, Dental trauma, Luxation.


Article Information


Identifiers and Pagination:

Year: 2017
Volume: 11
First Page: 8
Last Page: 14
Publisher Id: TODENTJ-11-8
DOI: 10.2174/1874210601711010008

Article History:

Received Date: 23/08/2016
Revision Received Date: 28/12/2016
Acceptance Date: 08/01/2017
Electronic publication date: 31/01/2017
Collection year: 2017

© Gutmacher et al.; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.


* Address correspondence to this author at the Endodontic and Dental Trauma Department, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel; Tel: 972-4-8541927; Fax: 972-4-8370752; E-mail: sh_lin@rambam.health.gov.il


Endorsements



"My experience with Bentham Open was a valuable one because the quality of the services and analysis of my paper contributed in improving what we intended to convey to the readers."


José Ricardo Kina
Department of Surgery and Integrated Clinic,
Araçatuba School of Dentistry, São Paulo State University
Brazil

"The Publication Manager was very cooperative and replied my mails and guided me without any delays; however the reviewing process was too long."


Mahtab Memarpour
Prevention of Oral and Dental Disease Research Center,
Department of Pediatric Dentistry, School of Dentistry,
Shiraz University of Medical Sciences, Shiraz,
Iran


SCImago Journal Ranking

SCImago Journal & Country Rank

Browse Contents


Webmaster Contact: info@benthamopen.com
Copyright © 2017 Bentham Open