TODENTJ-25-03-2019_TODENTJ-11-8
1553506920
Bentham Open
doi@benthamopen.net
Bentham Open
The Open Dentistry Journal
TODENTJ
1874-2106
01
31
2017
11
1
Alveolar Bone Fracture: Pathognomonic Sign for Clinical Diagnosis
Zvi
Gutmacher
Eli
Peled
Doron
Norman
Shaul
Lin
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.
01
31
2017
8
14
TODENTJ-11-8
1
10.2174/crossmark_policy
opendentistryjournal.com
benthamopen.com
true
Peer Reviewed
Single blind
Checked with iThenticate
2016-08-23
2016-12-28
2017-01-08
2017-01-31
https://creativecommons.org/licenses/by/4.0/legalcode
10.2174/1874210601711010008
1553506920
https://opendentistryjournal.com/VOLUME/11/PAGE/8/
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.pdf
-
https://opendentistryjournal.com/contents/volumes/V11/TODENTJ-11-8/TODENTJ-11-8.xml
Dent. Traumatol.
Wright G.
23
226
2007
10.1111/j.1600-9657.2006.00430.x
Wright G, Bell A, McGlashan G, Vincent C, Welbury RR.
Dentoalveolar trauma in Glasgow: an audit of mechanism and injury.
Dent Traumatol
2007;
23
(4)
: 226-31.
Dent. Traumatol.
Koyuturk A.E.
24
e16
2008
10.1111/j.1600-9657.2008.00579.x
Koyuturk AE, Kusgoz A.
Multiple dentoalveolar traumatic injury: a case report (3 years follow up).
Dent Traumatol
2008;
24
(4)
: e16-9.
Dent. Traumatol.
Lam R.
24
663
2008
10.1111/j.1600-9657.2008.00689.x
Lam R, Abbott P, Lloyd C, Lloyd C, Kruger E, Tennant M.
Dental trauma in an Australian rural centre.
Dent Traumatol
2008;
24
(6)
: 663-70.
Dent. Traumatol.
Glendor U.
24
603
2008
10.1111/j.1600-9657.2008.00696.x
Glendor U.
Epidemiology of traumatic dental injuriesa 12 year review of the literature.
Dent Traumatol
2008;
24
(6)
: 603-11.
Endod. Dent. Traumatol.
Borssén E.
13
276
1997
10.1111/j.1600-9657.1997.tb00055.x
Borssén E, Holm A-K.
Traumatic dental injuries in a cohort of 16-year-olds in northern Sweden.
Endod Dent Traumatol
1997;
13
(6)
: 276-80.
Dent. Traumatol.
Olsburgh S.
18
103
2002
10.1034/j.1600-9657.2002.00004.x
Olsburgh S, Jacoby T, Krejci I.
Crown fractures in the permanent dentition: pulpal and restorative considerations.
Dent Traumatol
2002;
18
(3)
: 103-15.
Endod. Dent. Traumatol.
Calişkan M.K.
11
210
1995
10.1111/j.1600-9657.1995.tb00490.x
Calişkan MK, Türkün M.
Clinical investigation of traumatic injuries of permanent incisors in Izmir, Turkey.
Endod Dent Traumatol
1995;
11
(5)
: 210-3.
Dent. Traumatol.
Majorana A.
18
77
2002
10.1034/j.1600-9657.2002.180206.x
Majorana A, Pasini S, Bardellini E, Keller E.
Clinical and epidemiological study of traumatic root fractures.
Dent Traumatol
2002;
18
(2)
: 77-80.
Aust. Dent. J.
Bastone E.B.
45
2
2000
10.1111/j.1834-7819.2000.tb00234.x
Bastone EB, Freer TJ, McNamara JR.
Epidemiology of dental trauma: a review of the literature.
Aust Dent J
2000;
45
(1)
: 2-9.
Dent. Traumatol.
Flores M.T.
23
66
2007
10.1111/j.1600-9657.2007.00592.x
Flores MT, Andersson L, Andreasen JO, et al.
Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth.
Dent Traumatol
2007;
23
(2)
: 66-71.
Dent. Traumatol.
Flores M.T.
23
130
2007
10.1111/j.1600-9657.2007.00605.x
Flores MT, Andersson L, Andreasen JO, et al.
Guidelines for the management of traumatic dental injuries. II. Avulsion of permanent teeth.
Dent Traumatol
2007;
23
(3)
: 130-6.
Dent. Traumatol.
Berrezouga L.
27
147
2011
10.1111/j.1600-9657.2010.00967.x
Berrezouga L, Kammoun D, Bhouri L, Alaya BT, Belkhir MS.
Treatment of multiple traumatized anterior teeth associated with an alveolar bone fracture in a 15-year-old school boy: a 2.5-year follow up.
Dent Traumatol
2011;
27
(2)
: 147-51.
Berman LH, Blanco L, Cohen S.
Alveolar fractures. In: Berman LH, Blanco L, Cohen S, Eds.
A clinical guide to dental traumatology.
St. Louis, MO: CV Mosby 2007; pp.
1248-71.
J. Contemp. Dent. Pract.
Zahrani A.A.
8
57
2007
Zahrani AA.
Augmentation in two stages of atrophic alveolar bone prior to dental rehabilitation: a case report.
J Contemp Dent Pract
2007;
8
(6)
: 57-63.
Endod. Dent. Traumatol.
Oikarinen K.
6
177
1990
10.1111/j.1600-9657.1990.tb00414.x
Oikarinen K, Lahti J, Raustia AM.
Prognosis of permanent teeth in the line of mandibular fractures.
Endod Dent Traumatol
1990;
6
(4)
: 177-82.
Int. J. Oral Maxillofac. Surg.
Kamboozia A.H.
22
97
1993
10.1016/S0901-5027(05)80811-2
Kamboozia AH, Punnia-Moorthy A.
The fate of teeth in mandibular fracture lines. A clinical and radiographic follow-up study.
Int J Oral Maxillofac Surg
1993;
22
(2)
: 97-101.
Berman LH, Blanco L, Cohen S.
Patient assessment. In: Berman LH, Blanco L, Cohen S, Eds.
A clinical guide to dental traumatology.
St. Louis, MO: CV Mosby 2007; pp.
12-24.
Dent. Traumatol.
Cohenca N.
23
95
2007
10.1111/j.1600-9657.2006.00509.x
Cohenca N, Simon JH, Roges R, Morag Y, Malfaz JM.
Clinical indications for digital imaging in dento-alveolar trauma. Part 1: traumatic injuries.
Dent Traumatol
2007;
23
(2)
: 95-104.
Berman LH, Blanco L, Cohen S.
Alveolar fractures. In: Berman LH, Blanco L, Cohen S, Eds.
A clinical guide to dental traumatology.
St. Louis, MO: CV Mosby 2007; p.
147.
Endod. Dent. Traumatol.
Andreasen J.O.
11
76
1995
10.1111/j.1600-9657.1995.tb00464.x
Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM.
Replantation of 400 avulsed permanent incisors. 4. Factors related to periodontal ligament healing.
Endod Dent Traumatol
1995;
11
(2)
: 76-89.
Oral Surg. Oral Med. Oral Pathol.
Nasjleti C.E.
53
557
1982
10.1016/0030-4220(82)90340-1
Nasjleti CE, Castelli WA, Caffesse RG.
The effects of different splinting times on replantation of teeth in monkeys.
Oral Surg Oral Med Oral Pathol
1982;
53
(6)
: 557-66.
Berman LH, Blanco L, Cohen S.
A clinical guide to dental traumatology.
St. Louis, MO: CV Mosby 2007; pp.
127-48.
Oral Surg. Oral Med. Oral Pathol.
Akamine R.N.
8
349
1955
10.1016/0030-4220(55)90101-8
Akamine RN.
Diagnosis of traumatic injuries of the face and jaws.
Oral Surg Oral Med Oral Pathol
1955;
8
(4)
: 349-58.
Community Dent. Oral Epidemiol.
Ravn J.J.
2
231
1974
10.1111/j.1600-0528.1974.tb01658.x
Ravn JJ.
Dental injuries in Copenhagen schoolchildren, school years 19671972.
Community Dent Oral Epidemiol
1974;
2
(5)
: 231-45.
Andreasen JO.
Classification, etiology and epidemiology. In: Andreasen JO, Ed.
Traumatic injuries of the teeth. 3rd ed.
Copenhagen: Munksgaard 1994; pp.
217-44.
J. Oral Maxillofac. Surg.
Motamedi M.H.
61
61
2003
10.1053/joms.2003.50049
Motamedi MH.
An assessment of maxillofacial fractures: a 5-year study of 237 patients.
J Oral Maxillofac Surg
2003;
61
(1)
: 61-4.
J. Craniomaxillofac. Surg.
Iida S.
30
237
2002
10.1054/jcms.2002.0295
Iida S, Matsuya T.
Paediatric maxillofacial fractures: their aetiological characters and fracture patterns.
J Craniomaxillofac Surg
2002;
30
(4)
: 237-41.
J. Craniomaxillofac. Surg.
Gassner R.
31
51
2003
10.1016/S1010-5182(02)00168-3
Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H.
Cranio-maxillofacial trauma: a 10 year review of 9,543 cases with 21,067 injuries.
J Craniomaxillofac Surg
2003;
31
(1)
: 51-61.
Dent. Traumatol.
Lin S.
23
155
2007
10.1111/j.1600-9657.2005.00418.x
Lin S, Levin L, Goldman S, Peled M.
Dento-alveolar and maxillofacial injuries - a retrospective study from a level 1 trauma center in Israel.
Dent Traumatol
2007;
23
(3)
: 155-7.
Dent. Traumatol.
Lin S.
24
56
2008
10.1111/j.1600-9657.2006.00511.x
Lin S, Levin L, Goldman S, Sela G.
Dento-alveolar and maxillofacial injuries: a 5-year multi-center study. Part 2: severity and location.
Dent Traumatol
2008;
24
(1)
: 56-8.
J. Oral Maxillofac. Surg.
Olson R.A.
40
23
1982
10.1016/S0278-2391(82)80011-6
Olson RA, Fonseca RJ, Zeitler DL, Osbon DB.
Fractures of the mandible: a review of 580 cases.
J Oral Maxillofac Surg
1982;
40
(1)
: 23-8.
Dent. Traumatol.
Levin L.
19
237
2003
10.1034/j.1600-9657.2003.00196.x
Levin L, Friedlander LD, Geiger SB.
Dental and oral trauma and mouthguard use during sport activities in Israel.
Dent Traumatol
2003;
19
(5)
: 237-42.
Acta Odontol. Scand.
Järvinen S.
36
359
1978
10.3109/00016357809029088
Järvinen S.
Incisal overjet and traumatic injuries to upper permanent incisors. A retrospective study.
Acta Odontol Scand
1978;
36
(6)
: 359-62.
Dent. Clin. North Am.
Berman C.L.
13
961
1969
Berman CL, Berman LG.
The psychological implications of tooth loss.
Dent Clin North Am
1969;
13
(4)
: 961-6.
Br. Dent. J.
Davis D.M.
188
503
2000
Davis DM, Fiske J, Scott B, Radford DR.
The emotional effects of tooth loss: a preliminary quantitative study.
Br Dent J
2000;
188
(9)
: 503-6.
Turk. J. Pediatr.
Ekşioğlu F.
45
136
2003
Ekşioğlu F, Altinok D, Uslu MM, Güdemez E.
Ultrasonographic findings in pediatric fractures.
Turk J Pediatr
2003;
45
(2)
: 136-40.
Gen. Dent.
Cohen S.
51
235
2003
Cohen S, Blanco L, Berman LH.
Early radiographic diagnosis of inflammatory root resorption.
Gen Dent
2003;
51
(3)
: 235-40.