IADT treatment guidelines for alveolar fracture
- 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.
- 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.
- Reposition any displaced segment and then splint.
- Suture gingival laceration, if present.
- Stabilize the segment for 4 weeks.
- 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.