Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis

Gutmacher, Zvi; Peled, Eli; Norman, Doron; Lin, Shaul

Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis

Zvi Gutmacher¹, Eli Peled^{2, 3}, Doron Norman^{2, 3}, Shaul Lin^{3, 4, *}

¹ Department of Maxillofacial Rehabilitation, Rambam Health Care Campus, Haifa, Israel

² Department of Orthopedic Surgery B, Rambam Health Care Campus, Haifa, Israel

³ The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

⁴ Endodontic and Dental Trauma Department, Rambam Health Care Campus, Haifa, Israel

Article Information

Identifiers and Pagination:

Year: 2017
Volume: 11
First Page: 8
Last Page: 14
Publisher ID: TODENTJ-11-8
DOI: 10.2174/1874210601711010008

Article History:

Received Date: 23/08/2016
Revision Received Date: 28/12/2016
Acceptance Date: 08/01/2017
Electronic publication date: 31/01/2017
Collection year: 2017

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© Gutmacher et al.; Licensee Bentham Open

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

^* Address correspondence to this author at the Endodontic and Dental Trauma Department, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel; Tel: 972-4-8541927; Fax: 972-4-8370752; E-mail: sh_lin@rambam.health.gov.il

Aim:

Dental injuries, especially luxation and avulsion, are common. Dental trauma can cause alveolar bone fracture that can lead to tooth loss and malocclusion. Single tooth alveolar bone fractures are difficult to identify unless it protrudes through the overlying mucosa and can be visualized. Pain, malocclusion, and tooth mobility provide signs of suspected alveolar bone fractures. Integrity of the proximate alveolar bone should be examined for fractures where avulsion, luxation, or other tooth trauma is detected. Any suggestion of alveolar fractures should be further investigated with an appropriate radiograph.

Summary:

This case report shows a pathognomonic sign that detects and diagnosis single tooth alveolar bone fractures, i.e., a localized hematoma crossing the attached gingiva from the free gingival margin to the vestibular mucosa. This should serve as a warning for localized alveolar bone fracture.

A visualized hematoma and gentle, careful palpation may help detect covered fractures when the overlying mucosa is not perforated.

Keywords: Alveolar bone fracture, Avulsion, Dental trauma, Luxation.

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RESEARCH ARTICLE

Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis

Article Information

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Article History:

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Total Statistics:

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Abstract

Aim:

Summary:

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About the Editor

About the Journal

The Open Dentistry Journal

Journal Metrics

Readership Statistics:

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Unique Views/Downloads: 109,073

Press Release

Bentham Open Welcomes Sultan Idris University of Education (UPSI) as Institutional Member

Ministry Of Health, Jordan joins Bentham Open as Institutional Member

Prof. Dileep Sharma joins the Editorial Board of The Open Dentistry Journal

Porto University joins Bentham Open as Institutional Member

Testimonials