Examples of Dentoalveolar Traumatology in Pediatric Dental Practice
This chapter contains examples of dentoalveolar trauma cases.
- PDF / 971,056 Bytes
- 12 Pages / 439.37 x 666.142 pts Page_size
- 60 Downloads / 214 Views
11
This chapter contains examples of dentoalveolar trauma cases. Names of distinguished colleagues who supplied the images for this chapter are mentioned with the radiographs. If there is no name mentioned with the radiographs, the radiographs were taken by the author of this book or collected from the different university clinics he has worked in (Ghent University in Belgium, University of Washington in Seattle, USA, and University of Western Australia in Perth, Australia).
11.1 Bony Fractures Dentoalveolar trauma is a common fact in pediatric dentistry. Children fall all the time and often nothing bad results; however in some cases, even in the very young age dental radiographs are indicated to verify intrusion or avulsion of primary teeth. The techniques described in Chap. 3 can be used to obtain adequate and diagnostic radiographic material. In older children these techniques can also be used of course, especially if positioning the image detector is painful or difficult. In this section a myriad of examples are given and commented. Figures 11.1 and 11.2 are illustrations of cone beam computed tomography scans taken for jaw traumas. The first is a very young child, whereas the second one is an 18 year old young man who presented with several fractures after being kicked in the face.
© Springer Nature Switzerland AG 2019 J. Aps, Imaging in Pediatric Dental Practice, https://doi.org/10.1007/978-3-030-12354-3_11
123
124
11 Examples of Dentoalveolar Traumatology in Pediatric Dental Practice
Fig. 11.1 This is a small-field-of-view cone beam computed tomography of a 4-year-old child with a mandibular symphysis fracture. The axial slice shows nicely how the fracture line meanders between the tooth germs of the permanent central incisors. In the coronal view one can appreciate the step in the alveolar crest, with the patient’s mandibular body on the left-hand side being a little more inferior than that on the right-hand side. One can debate if this was an accident or child abuse (courtesy of Prof. Dr. Edgar Hirsch, Germany)
11.1 Bony Fractures
125
Fig. 11.2 This large field of cone beam computed tomography was taken on an 18-year-old man, who celebrated his day after his 18th birthday in hospital after being kicked in the face at a party. He suffered multiple jaw fractures: bilateral condylar neck fractures (especially well visible on the coronal view), right body of mandible fracture (especially well visible on the axial view), and a left-hand-side coronoid process fracture (upper right-hand-side image)
126
11 Examples of Dentoalveolar Traumatology in Pediatric Dental Practice
11.2 Dental Trauma Figures 11.3 through 11.11 are all examples of dento-alveolar trauma cases. Some of them were diagnosed with only two-dimensional image techniques and others were assisted with cone beam computed tomography scans.
Fig. 11.3 This is an occlusal radiograph (for technique see Chap. 3) of a 3-year-old boy that was taken after dentoalveolar trauma on the maxillary primary central incisors. Both central incis
Data Loading...
