IADT treatment guidelines for alveolar fracture
- The fracture involves the alveolar bone and may extend to the adjacent bone.
- Segment mobility and dislocation are common findings.
- Occlusal interference is often noted.
- The horizontal fracture line to the apices of the primary teeth and their permanent successors will be disclosed.
- A lateral radiograph may also give information about the relation between the two dentitions and if the segment is displaced in labial direction
- Reposition any displaced segment and then splint.
- General anesthesia is often indicated.
- Stabilize the segment for 4 weeks.
- Monitor teeth in fracture line
- 1 week – Clinical examination.
- 3-4 weeks – Splint removal, clinical and radiographic examination.
- 6-8 weeks – Clinical and radiographic examination.
- 1 year – Clinical and radiographic examination, clinical and radiographic monitoring until eruption of the permanent successor each subsequent year until exfoliation.