How do you treat a maxillary tuberosity fracture?
Routine treatment of the large maxillary tuberosity fractures is to stabilize the mobile part(s) of bone with one of rigid fixation techniques for 4 to 6 weeks. Following adequate healing, a surgical extraction procedure may be attempted.
How do you deal with a fractured tuberosity?
Treatment
- For a small fracture without sinus perforation: dissect the segment from gingiva and periosteum and suture.
- If the area is infected, consider antibiotics and decongestants.
- Include postoperative instructions to avoid nose blowing, smoking, etc., so the communication does not reopen.
How can maxillary tuberosity fractures be prevented?
If it is believed that a high risk of a maxillary tuberosity fracture may occur, then a surgical extraction of the molar is generally recommended. Prevention of this complication is the best option and should include a proper preoperative examination and appropriate surgical plan.
What is maxillary tuberosity fracture?
Fracture of the maxillary tuberosity is a potential sequela of removal of maxillary posterior teeth. Often, a small fragment of bone is able to be carefully dissected from its periosteum and delivered with the tooth.
What is behind the maxillary tuberosity?
Pterygoid plates – The lateral and medial pterygoid plates are located behind the maxillary tuberosity.
How long does a tuberosity fracture take to heal?
This normally takes between 6-12 weeks to unite (heal).
What are the 3 landmarks of oral cavity?
Landmarks of the oral tissues include the palate, tongue, cheeks and floor of the mouth. It is significant to recognize the normal appearance of these structures during an intraoral examination of the patient.
What are the maxillary landmarks?
The maxilla is the upper dental arch that contains the maxillary alveolar process, the maxillary teeth and the maxillary sinuses. It sits on either side of the nasal cavity and below the orbits.
Can a maxillary tuberosity fracture occur during tooth extraction?
Maxillary tuberosity fractures during molar teeth extraction can occur commonly in dental practice; however, very few cases are reported and discussed in the literature. This article presents a case of large fracture of maxillary tuberosity during extraction of first maxillary molar tooth and its conservative treatment outcomes.
What can cause a fracture of the tuberosity?
The fracture of the tuberosity is normally associated with traumatic extraction of maxillary molars particularly the wisdom tooth. This is often accompanied by tears of the gum.
How long does it take for maxillary tuberosity fracture to heal?
The major therapeutic goal of management is to salvage the fractured bone in place and to provide the best possible environment for healing.3 Routine treatment of the large maxillary tuberosity fractures is to stabilize the mobile part(s) of bone with one of rigid fixation techniques for 4 to 6 weeks.
Why is the basal cancellous bone better for luxating a tooth?
For the basal cancellous bone, the bone density at the maxillary tuberosity was lower than that at other sites. Thus, the density at the maxillary tuberosity was lower than that at all other sites. This may make the tuberosity bone better for luxating a tooth, but may also cause a higher susceptibility to fracture under lower applied forces.