Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: 01 Apr 2010

Multidisciplinary Treatment for a Young Patient With Severe Maxillofacial Trauma From a Snowmobile Accident: A Case Report

DDS, PhD, DMD, MMSc,
DMD,
DMD, MPH,
Dr Med Dent, DMD, and
DDS, PhD, MMSc
Page Range: 141 – 144
DOI: 10.1563/AAID-JOI-D-09-00058R1
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Abstract

This clinical report describes the oral rehabilitation of a 15-year-old male patient who was involved in a snowmobile accident and suffered multiple mid-face and mandibular fractures. Consequences of the accident included avulsion of teeth numbers 5 to 10 and 21 to 26, and a significant amount of maxillary and mandibular anterior alveolar bone loss. The patient underwent open reduction and rigid fixation of the fractured left zygoma, comminuted LeFort I maxillary fracture, and left body of the mandible; closed reduction of the bilateral condylar fractures; autologous corticocancellous bone grafting to the maxilla and mandible; implant placement; and prosthesis fabrication. This multidisciplinary approach successfully restored function and esthetics.

Copyright: American College of Veterinary Internal Medicine
Figures 1 and 2
Figures 1 and 2

Figure 1. Emergency intra-oral presentation of patient. Figure 2. Surgical presentation of patient.


Figures 3–5
Figures 3–5

Figure 3. Intra-oral view at 4 months after the maxillary and mandibular implant placements. Figure 4. Intra-oral frontal view of the final implant-supported prostheses. Figure 5. Periapical X rays of the final implant-supported prostheses.


Figures 6 and 7
Figures 6 and 7

Figure 6. Frontal view at smile at 1 year follow-up. Figure 7. Periapical X rays at 1 year follow-up.


Contributor Notes

Department of Prosthodontics, New York University College of Dentistry, New York, NY.
Private practice, Newton, Mass.
Center for Applied Clinical Investigation and Departments of Oral and Maxillofacial Surgery, Harvard School of Dental Medicine and Massachusetts General Hospital, Boston, Mass.
Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, Mass.
Comprehensive Dental Implant Center, Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Ill.
*Corresponding author, e-mail: csukotjo@uic.edu
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