IADT treatment guidelines for alveolar fracture

alveolar-fracture4

Clinical findings

  • The fracture involves the alveolar bone and may extend to the adjacent bone.
  • Segment mobility and dislocation with several teeth moving together are common findings.
  • An occlusal change due to misalignment of the fractured alveolar segment is often noted.
  • Sensibility testing may or may not be positive.

Radiographic findings

  • Fracture lines may be located at any level, from the marginal bone to the root apex and above the apex.
  • In addition to the 3 angulations and occlusal film, additional views such as a panoramic radiograph can be helpful in determining the course and position of the fracture lines.

Treatment

  • Reposition any displaced segment and then splint.
  • Suture gingival laceration, if present.
  • Stabilize the segment for 4 weeks.

Follow-up

  • 4 weeks – Splint removal, clinical and radiographic examination.
  • 6-8 weeks – Clinical and radiographic examination.
  • 4 months – Clinical and radiographic examination.
  • 6 months – Clinical and radiographic examination.
  • 1 year – Clinical and radiographic examination.
  • 5 years – Clinical and radiographic examination.