We have discussed the principles of management of fractures in Fracture of the Lower Jaw-Part I. In this article we will be discussing a little in depth regarding the management of Lower jaw fractures, or mandibular fractures.
PRINCIPLES OF MANAGEMENT OF FRACTURES:
Reduction of the fracture-Reduction can be done in 2 days: Open Reduction or Closed Reduction, as will be discussed below
Fixation & stabilization of the fracture-Direct or Indirect
Immobilization of segments at fracture site
Occlusion restored-to allow the patient to bite in his original position
Infection eradicated/prevented-infection can prevent or delay healing, thus it is of essence that infection be avoided. Continue reading →
In an Australian case (Rogers v. Whitaker), the High Court of Australia ruled that a 1 in 14,000 risk of blindness associated with a procedure, should have been disclosed to a patient. In this example, the patient was already almost blind in one eye and the doctor should have warned of the possible risk of blindness to the other eye no matter how slight in these circumstances, regardless of whether the patient had expressly asked the question or not. Continue reading →
There might be complications after any kind of extraction including wisdom teeth extraction. It is either due to the natural of the surgery itself or due to insufficient experience by the clinician.
1. Soft tissue injury – The flap that the dentist raised ( cut so that the he can visualize and access to the embedded wisdom tooth) might be tear off during the procedure,it might be due to inadequate size of the flap or he uses excessive force to retract the flap. To manage it, the clinician will smoothen the edges and suture back the flap. The rotating bur that the dentist uses to remove bone to allow removal of your wisdom tooth might injures your lips or any soft tissues if he is not careful. If it happens, Vaseline or any antibiotic ointment can be applied to cool that area and it can heal around 5 to 10 days time.To prevent any scarring or to decrease healing time, you can keep the injured area moist. Continue reading →