Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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The conservative care by early endodontic drainage of infected teeth in the line of a mandibular fracture: report of a case

조기 치근관 배농술을 이용한 하악 골절선상 감염치아들의 보존적 관리: 증례보고

  • Mo, Dong-Yup (Department of Oral and Maxillofacial Surgery, Wonju Christian Hospital College of Dentistry, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Oral and Maxillofacial Surgery, Wonju Christian Hospital College of Dentistry, Yonsei University) ;
  • Choi, Byung-Ho (Department of Oral and Maxillofacial Surgery, Wonju Christian Hospital College of Dentistry, Yonsei University) ;
  • Seol, Sung-Han (Department of Oral and Maxillofacial Surgery, Wonju Christian Hospital College of Dentistry, Yonsei University) ;
  • Kim, Ha-Rang (Department of Oral and Maxillofacial Surgery, Wonju Christian Hospital College of Dentistry, Yonsei University) ;
  • Lee, Chun-Ui (Department of Oral and Maxillofacial Surgery, Wonju Christian Hospital College of Dentistry, Yonsei University)
  • 모동엽 (연세대학교 치과대학 원주기독병원 구강악안면외과학교실) ;
  • 유재하 (연세대학교 치과대학 원주기독병원 구강악안면외과학교실) ;
  • 최병호 (연세대학교 치과대학 원주기독병원 구강악안면외과학교실) ;
  • 설성한 (연세대학교 치과대학 원주기독병원 구강악안면외과학교실) ;
  • 김하랑 (연세대학교 치과대학 원주기독병원 구강악안면외과학교실) ;
  • 이천의 (연세대학교 치과대학 원주기독병원 구강악안면외과학교실)
  • Received : 2009.10.16
  • Accepted : 2010.06.21
  • Published : 2010.08.31
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Abstract

The management of teeth in the line of a mandibular fracture is controversial despite the general agreement that most of these teeth can be preserved. Teeth should be retained if bony attachments are adequate for survival, the tooth is sound and important in maintaining fixation of the fractured segment of bone. Teeth should be removed if they are loose and interfere with the reduction of fragments, are devitalized and potentially a source of wound infection, are damaged beyond their usefulness or may become devital and interfere with healing by becoming infected. However, tooth removal will increase the level of trauma, extend the severity of the wound and require expensive prosthetic treatment. Therefore, it is very important to conserve infected teeth in the line of a mandibular fracture through early primary endodontic treatment (pulp extirpation, canal enlargement and canal opening drainage) and splinting. The basic principles underlying the treatment of pulpless teeth are those underlying general surgery. Therefore, debridement of the infected wound (pulp extirpation and canal enlargement), drainage (canal opening) and gentle treatment of the tissues (occlusal reduction and teeth splinting) are the principles of surgery. This is a representative case report of conservative care by the early endodontic drainage of infected teeth in the line of a mandibular fracture.

Keywords

References

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