Emergency Treatment of Soft Tissue and Dentoalveolar Fractures using Risdon Wiring in Children due to Motorcycle Accident : Case Report

E. Sjamsudin, Harmas Yazid Y, A. Tasman, Winarno Priyanto
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Abstract

Introduction: Dentoalveolar fractures are often found in children due to physical trauma, falls, and motorized accidents. In pediatric patients, there are variations in age, jaw development, and dentition which are the primary considerations in choosing a dentoalveolar fracture treatment method. This case report aims to describe and discuss the emergency management of soft tissue injuries and mandibular dentoalveolar fractures with Risdon wiring in pediatric patients due to motorized accidents. Case report: A 9-year-old female patient complained of bleeding from the mouth due to a traffic accident. Clinical and radiographic examination showed dentoalveolar segment fractures in tooth region 32-42, stab wounds, and lacerations on the inferior lip, vestibule, and gingiva in tooth region 32-42. The patient underwent wound cleaning, wound suturing, and treatment of dentoalveolar fractures with fixation using Risdon wiring in the mandibular region 36-46. Conclusion: Conservative treatment of dentoalveolar fractures in pediatric patients with minimal intervention can give good results. Risdon wiring as a fixation method can be used in the emergency treatment of dentoalveolar fractures in pediatric patients with mixed dentition. Keywords: Soft tissue trauma, dentoalveolar fracture, Risdon wiring, emergency
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摩托车事故儿童软组织及牙槽骨骨折急诊应用Risdon钢丝治疗一例报告
儿童牙槽骨骨折常因身体创伤、跌倒和机动事故而发生。在儿科患者中,年龄、颌骨发育和牙列的差异是选择牙槽骨骨折治疗方法的主要考虑因素。本病例报告旨在描述和讨论儿童因机动事故导致的软组织损伤和下颌牙槽骨折的急诊处理。病例报告:一名九岁女病人自诉因交通事故口腔出血。临床及影像学检查显示32-42牙区牙槽段骨折,32-42牙区有刀伤及下唇、前庭及牙龈撕裂伤。患者接受了伤口清洗,伤口缝合,并在下颌骨使用Risdon钢丝固定治疗牙槽骨骨折36-46。结论:儿童牙槽牙槽骨折采用微创保守治疗可取得较好的疗效。Risdon钢丝作为一种固定方法可用于小儿混合牙列患者牙槽骨折的急诊治疗。关键词:软组织创伤,牙槽骨骨折,里斯顿钢丝,急诊
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