Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Eva Vacuum-Formed Alternative Splinting of Alveolar Fractures in Primary Dentition: A Case Report
1Private Paediatric Dental Clinic, Papadiamantopoulou 2, 11528 Athens, Greece.
DOI: 10.17796/1053-4628-41.5.327 Vol.41,Issue 5,September 2017 pp.327-331
Published: 01 September 2017
*Corresponding Author(s): Nick A Lygidakis E-mail: lygidakis@ath.forthnet.gr
Alveolar fractures treatment includes repositioning of displaced segments and splinting. In children, splinting procedures may occasionally present clinical problems resulting from fewer teeth available for splinting or presence of occlusal disturbances. An alternative clinical approach for splinting in alveolar fractures of primary dentition is described. Clinical case: A 4.5-year-old girl was referred to our clinic 8 hours after a fall accident. Clinical examination revealed mandibular alveolar process segmental fracture in the right canine area with frontal dislodgement of the labial cortical bone resulting to occluding inability. The area was anaesthetized, cleaned and the dislodged bone was manually repositioned, followed by an EVA copolymer splint for fixation as a result of patient’s deep bite impeding regular wire-composite splint. The cap splint that was fabricated on a cast made after an alginate impression, was set on the mandibular dentition and immobilized in the primary molars with acid-etch adhesive and flowable resin composite. Following splint removal after 4 weeks and follow-up visits, successful healing was observed clinically and radiographically with no pathological signs and symptoms. Conclusion: The described alternative splinting method in alveolar fractures of primary dentition is a valuable clinical tool for peediatric dentists, easily accepted by children in cases where regular splinting methods cannot be used.
alveolar fractures, primary dentition, splinting, vacuum formed, EVA
Konstantina Chatzidimitriou,Nikos N Lygidakis,Nick A Lygidakis. Eva Vacuum-Formed Alternative Splinting of Alveolar Fractures in Primary Dentition: A Case Report. Journal of Clinical Pediatric Dentistry. 2017. 41(5);327-331.
1. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth, 4th ed. Oxford: Blackwell Munksgaard, 2007.
2. Glendor U, Andersson L. Public health aspects of oral diseases and disorders: dental trauma. In: Pine C, Harris R, editors. Community Oral Health. London: Quintessence Publishing; 203–14, 2007.
3. Lygidakis NA, Marinou D, Katsaris N. Analysis of dental emergencies presenting to a community paediatric dentistry centre. Int J Paediatr Dent 8: 181–90, 1998.
4. Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol 18: 287–98, 2002.
5. Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries. J Craniomaxillofac Surg 31(1): 51-61, 2003.
6. Eilert-Petersson E, Andersson L, Sorensen S. Traumatic oral vs non-oral injuries. An epidemiological study during one year in a Swedish county. Swed Dent J 21: 55–68, 1997.
7. Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. I. Complications in the primary dentition. Endod Dent Traumatol 14: 31–44, 1998.
8. McTigue DJ. Managing injuries to the primary dentition. Dent Clin North Am 53: 627–38, 2009.
9. Altun C, Cehreli ZC, Guven G, Acikel C. Traumatic intrusion of primary teeth and its effects on the permanent successors: a clinical follow-up study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107: 493–8, 2009.
10. Aizenbud D, Hazan-Molina H, Emodi O, Rachmiel A. The management of mandibular body fractures in young children. Dent Traumatol 25(6): 565-70, 2009.
11. Myall RW. Management of mandibular fractures in children. Oral Maxillofac Surg Clin North Am 21(2): 197-201, 2009.
12. Flores MT, Malmgren B, Andersson L, Andreasen JO, Bakland LK, Barnett F et al. Guidelines for the management of traumatic dental injuries. III. Primary teeth. Dent Traumatol 23: 196–202, 2007a.
13. Malmgren B, Andreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, Cavalleri G, Cohenca N, Day P, Hicks ML, Malmgren O, Moule AJ, Onetto J, Tsukiboshi M; International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol 28(3): 174-82, 2012.
14. Kaban LB. Diagnosis and treatment of fractures of the facial bones in children 1943-1993. J Oral Maxillofac Surg 51: 722-9, 1993.
15. Wright GZ, Kupietzky A. Behavior Management in dentistry for children. 2nd ed. Oxford, UK: Wiley Blackwell, 2014.
16. Flores MT, Holan G, Borum M, Andreasen JO. Injuries to the primary dentition. In: Andreasen JO, Andreasen F, Andersson L, eds. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford, UK: Blackwell Munksgaard, 2007b.
17. Iida S, Matsuya T. Paediatric maxillofacial fractures: their aetiological characters and characters and fracture patterns. J Craniomaxillofac Surg 30(4): 237-41, 2002.
18. Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija 16(1): 7-14, 2014.
19. MacLeod SP, Rudd TC. Update on the management of dentoalveolar trauma. Curr Opin Otolaryngol Head Neck Surg 20(4): 318-24, 2012.
20. NGassapa DN, Freihofer HP, Maltha JC. The reaction of the periodontium to different tyes of splints. (I). Clinical aspects. Int J Oral Maxillofac Surg 15: 240-9, 1986.
21. Croll TP, Helpin ML. Use of self-etching adhesive system and compomer for splinting traumatized incisors. Pediatr Dent 24(1): 53-6, 2002.
22. Filippi A, von Arx T, Lussi A. Comfort and discomfort of dental trauma splints - a comparison of a new device (TTS) with three commonly used splinting techniques. Dent Traumatol 18(5): 275-80, 2002.
23. von Arx T, Filippi A, Buser D. Splinting of traumatized teeth with a new device: TTS (Titanium Trauma Splint). Dent Traumatol 17(4): 180-4, 2001.
24. Strobl H, Haas M, Norer B, Gerhard S, Emshoff R. Evaluation of pulpal blood flow after tooth splinting of luxated permanent maxillary incisors. Dent Traumatol 20(1): 36-41, 2004.
25. von Arx T, Filippi A, Lussi A. Comparison of a new dental trauma splint device (TTS) with three commonly used splinting techniques. Dent Traumatol 17(6): 266-74, 2001.
26. Trupthi DV, Chowdhury S, Shah A, Singh M. Treatment of mandibular fractures using intermaxillary fixation and vacuum forming splints: A comparative study. J Maxillofac Oral Surg 13(4): 519-24, 2014.
27. Lloyd T, Nightingale C, Edler R. The use of vacuum-formed splints for temporary intermaxillary fixation in the management of unilateral condylar fractures. Br J Oral Maxillofac Surg 39(4): 301-3, 2001.
28. Beech AN, Farrier JN. Operative use of a vacuum-formed splint in the reduction of displaced mandibular fractures. Br J Oral Maxillofac Surg 54(2): 224-5, 2016.
29. Aizenbud D, Emodi O, Rachmiel A. Nonsurgical orthodontic splinting of mandibular fracture in a young child: 10-year follow-up. J Oral Maxillofac Surg 66(3): 575-7, 2008.
30. Qin M, Ge LH, Bai RH. Use of a removable splint in the treatment of subluxated, luxated and root fractured anterior permanent teeth in children. Dent Traumatol 18: 81–5, 2002.
31. Choubey S, Shigli A, Banda N, Vyawahare S. Vacuum formed splints: Novel method for managing oro-facial trauma. J Indian Soc Pedod Prev Dent 32(4): 353-6, 2014.
32. Khatri A, Kalra N. A conservative approach to pediatric mandibular fracture management: outcome and advantages. Indian J Dent Res 22(6): 873-6, 2011.
33. John B, John RR, Stalin A, Elango I. Management of mandibular body fractures in pediatric patients: a case report with review of literature. Contemp Clin Dent 1(4): 291-6, 2010.
34. Brown CL, Mackie IC. Splinting of traumatized teeth in children. Dent Update 30: 78–82, 2003.
35. Coto NP, Brito e Dias R, Costa RA, Antoniazzi TF, de Carvalho EP. Mechanical behavior of ethylene vinyl acetate copolymer (EVA) used for fabrication of mouthguards and interocclusal splints. Braz Dent J 18(4): 324-8, 2007.
36. Oikarinen KS, Salonen MAM, Korhonen J. Comparison of the guarding capacities of mouthguard protectors. End Dent Traumatol 9: 115-119, 1993.
37. Verissimo C, Costa PV, Santos-Filho PC, Tantbirojn D, Versluis A, Soares CJ. Custom - Fitted EVA Mouthguards: what is the ideal thickness? a dynamic finite element impact study. Dent Traumatol 32(2): 95-102, 2016.
38. Takahashi M, Koide K, Mizuhashi F. Difference in the thickness of mouthguardsfabricated from ethylene-vinyl acetate copolymer sheets with differently arranged v-shaped grooves. J Prosthodont Res 57(3): 169-78, 2013.
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