MANAGEMENT OF TOOTH EXTRUSION AS A COMPLICATION DUE TO INTERMAXILLARY FIXATION: TWO CASE REPORTS

Abstract

ABSTRACT

One of the most common and trusted methods for mandibular fracture management is the intermaxillary fixation (IMF) with Erich arch bar with the application of circumdental wiring. Twisting a wire around a tooth conveys little feel as to its tightness and it can lead to tooth extrusion or avulsion. Anterior teeth affected more frequently because of having single root and no occlusal contact with opposite teeth. The aim of this report to present two patients with a rarely seen complication of anterior tooth extrusion caused by loosening of circumdental wires of Erich arch bar during the IMF and its treatment with orthodontic button and elastics

Keywords: complication, intraoperative, jaw fixation technics; maxillomandibular fixation; orthodontic extrusion

İNTERMAKSİLLER FiKSASYONA BAĞLI BİR KOMPLİKASYON OLAN DİŞ EKSTRÜZYONUN TEDAVİSİ: İKİ VAKA RAPORU

Mandibula kırıklarının tedavisi için en yaygın ve güvenilir metotlardan biri sirkumdental telleme ile yapılan Erich ark barlar kullanılan intermaksiller fiksasyon(IMF) işlemidir. Dişin çevresinde teli sıkı şekilde sarmak hassas bir his gerektirir ve dişte ekstrüzyona ve avülsiyona neden olabilir. Anterior dişler, tek köklü olmaları ve karşıt diş ile okluzal kontağa sahip olmamaları sebebiyle daha sık etkilenirler. Bu raporun amacı; iki hastada IMF sırasında sirkumdental tellerin gevşemesi sebebiyle oluşan nadir olarak görülen bir komplikasyon olan anterior diş ekstrüzyonunun ortodontik buton ve elastikler ile tedavisini sunmaktır.     

Anahtar Kelimeler: Komplikasyon, intraoperatif, çene sabitleme teknikleri, alt-üst çene sabitlemesi, ortodontik çekiş

Keywords

• complication,intraoperative

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