Maxillofacial Trauma 4: Alveolar Trauma Management Lecture Objectives

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What is the definition of dentoalveolar trauma?

A fracture involving the alveolar process which may or may not involve the socket of the teeth and may extend to the adjacent basal bone

What activity leads to most dentoalveolar injuries?

Contact sports and playground activities

In which populations do dentoalveolar injuries occur?

Pediatric, teenage, and adult populations

What is the aim of the lecture on Maxillofacial Trauma?

To detail the clinical, diagnostic and management aspects of alveolar trauma and traumatic injuries in pediatric patients

What is one of the objectives of the lecture on Maxillofacial Trauma?

To understand the principles of management of alveolar trauma

What should a student be able to do on completion of the lecture?

Understand the implications of extremes of age on the management of maxillofacial trauma

What age groups are mentioned to be affected by dentoalveolar injuries?

Pediatric and geriatric patients

Which type of injury leads to most dentoalveolar injuries?

Contact sports and playground activities

What is included in the clinical manifestations and management detailed in the lecture on Maxillofacial Trauma?

Clinical manifestations and management of alveolar traumatic injuries

What age groups have implications on the management of maxillofacial trauma?

Pediatric, teenage, and geriatric patients

What is essential for a student to identify after completing the lecture?

Different management modalities for maxillofacial trauma in pediatric and geriatric patients

What is the management approach for extrusive luxation and avulsion in pediatric dentoalveolar trauma?

Delicately placing the extruded tooth back in the socket and stabilizing it with a nonrigid splint for approximately 2 weeks

What is the classification of alveolar fracture that involves fracture of a dentulous segment with severe displacement?

Class III

What is the recommended duration for splinting in cases of minor alveolar fractures?

At least 4 weeks

Which type of internal fixation should be avoided to prevent injury of the erupting teeth buds in children?

Plates and screw fixation

What should be avoided to prevent irreversible injury to the highly differentiated TMJ structure in pediatric condylar fracture?

Open reduction

Why is internal fixation better avoided in pediatric maxillofacial trauma?

It interferes with growth

What is the implication of old age in geriatric maxillofacial trauma?

Increased bone resorption

Why is closed reduction with intermaxillary fixation challenging in geriatric patients?

It hinders respiratory function

What challenges arise in the management of fractures in edentulous geriatric patients?

Risk of prolonged surgery

What is the recommended approach for managing fractures that are not optimally reduced in elderly patients?

Expectation of self-correction or orthodontic treatment

What is a significant advantage of resorbable plates for pediatric internal fixation?

Integration of substances such as antibiotics within the material

Which type of fracture is among the most challenging to manage in the geriatric population?

Mandibular body fractures

What is the direct relationship mentioned in Luhr’s classification for fractures of the edentulous atrophic mandible?

Bony height and post-operative complications

Why might a Gunning’s splint be used in the management of geriatric jaw fractures?

To aid in securing arch bars to the denture

When is external pin fixation used in the management of geriatric jaw fractures?

For temporary fixation

What is a common problem that the use of larger plates and bicortical screws aims to prevent in the management of atrophic mandibular body fractures?

Nonunion and fibrous union

Which statement is true regarding the management of dentoalveolar trauma?

It may involve composite splint or essig wiring

In pediatric trauma management, what is crucial to avoid regarding tooth buds?

Injury of the developing tooth buds

What is essential when managing edentulous jaws with an adequate ridge using Gunning splints?

Minimal periosteal stripping

How are extremes of age stated to affect healing differently in trauma conditions?

Children heal faster than old age patients

According to De Feudis et al., what decision-making algorithm is used in the treatment of atrophic mandible fractures?

Decision-making algorithm

Which text should students review for relevant teaching provided in the first year?

Textbook of General and Oral Surgery, Churchill Livingstone 2003 pp 243-249

What is crucial in managing fractures with less than 15 mm in bone height according to Luhr’s classification?

Use of larger plates and bicortical screws

Explore the aims and objectives of the Maxillofacial Trauma 4 lecture, which covers clinical, diagnostic, and management aspects of alveolar trauma and traumatic injuries in pediatric and geriatric patients. Learn about clinical manifestations, principles, and implications of age on management.

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