Multidisciplinary Treatment for a Young Patient With Severe Maxillofacial Trauma From a Snowmobile Accident: A Case Report
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.Abstract
Figure 1. Emergency intra-oral presentation of patient. Figure 2. Surgical presentation of patient.
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.
Figure 6. Frontal view at smile at 1 year follow-up. Figure 7. Periapical X rays at 1 year follow-up.
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