Oral Rehabilitation of Severe Dentoalveolar Trauma: A Clinical Report
This clinical report describes the oral rehabilitation of an adult male who suffered severe dentoalveolar trauma as a result of a motor vehicle accident. The specific objectives of this treatment were to restore esthetics and masticatory function. Treatment included removal of fractured roots, placement of multiple endosseous implants, and placement of anterior and posterior metal-ceramic crowns and fixed partial dentures. Three year clinical examination revealed no pathology associated with the rehabilitation. The patient's esthetic and functional expectations were successfully achieved.
Figure 1. Position of trailer hitch in patient's passenger seat post accident. Figure 2a and b. Initial soft tissue injury.
Figure 3. Panoramic radiograph (preprosthetic treatment). Figure 4. Frontal view of teeth and ridges in maximum intercuspation (pretreatment). Figure 5. Frontal view of chin with scar bands (preprosthetic treatment). Figure 6. Immediate postoperative view of placement of mandibular implants. Figure 7. Immediate postoperative view of placement of maxillary implants.
Figure 8. Panoramic radiograph (posttreatment). Figure 9. Maxillary occlusal view (posttreatment). Figure 10. Mandibular occlusal view (posttreatment). Figure 11. Frontal view of the teeth in maximum intercuspation (posttreatment). Figure 12. Frontal view of patient in smile.
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