Skip to content
  • Basic research
  • Dental materials
  • Endodontics
  • Imaging
  • Implants
  • Infection control
  • Medically compromised and patients with special needs
  • Oral and maxillofacial surgery
  • Oral hygiene
  • Orthodontics
  • Other
  • Pediatric and preventive dentistry
  • Periodontics and oral medicine
  • Pharmacology
  • Prosthodontics
  • Restorative and aesthetic dentistry

Select Issue

  • Online First
  • 2023
    • VOL 27 – ISSUE 1
  • 2022
    • VOL 26 – ISSUE 1
    • VOL 26 – ISSUE 2
    • VOL 26 – ISSUE 3
  • 2021
    • VOL 25 – ISSUE 1
    • VOL 25 – ISSUE 2
    • VOL 25 – ISSUE 3
  • 2020
    • VOL 24 – ISSUE 1
    • VOL 24 – ISSUE 2
    • VOL 24 – ISSUE 3
  • 2019
    • VOL 23 – ISSUE 1
    • VOL 23 – ISSUE 2
    • VOL 23 – ISSUE 3
  • 2018
    • VOL 22 – ISSUE 1
    • VOL 22 – ISSUE 2
    • VOL 22 – ISSUE 3
  • 2017
    • VOL 21 – ISSUE 1
    • VOL 21 – ISSUE 2
    • VOL 21 – ISSUE 3
  • 2016
    • VOL 20 – ISSUE 1
    • VOL 20 – ISSUE 2
    • VOL 20 – ISSUE 3
  • 2015
    • VOL 19 – ISSUE 1
    • VOL 19 – ISSUE 2
    • VOL 19 – ISSUE 3
  • 2014
    • VOL 18 – ISSUE 1
    • VOL 18 – ISSUE 2
    • VOL 18 – ISSUE 3
  • Issue Archive
Skip to content
  • Balkan Stomatological Society
balkan.dentistry@hotmail.com
  • Facebook
Submit Manuscript
  • Facebook
Balkan Journal of Dental Medicine

Balkan Journal of Dental Medicine

Official Publication of the Balkan Stomatological Society

Submit Manuscript
  • Home
  • For Authors
    • Author Guidelines
    • Submit Your Manuscript
  • Articles and Issues
    • Online First
    • Issue Archive
      • 2023 YEAR
        • VOL 27 – ISSUE 1
      • 2022 YEAR
        • VOL 26 – ISSUE 1
        • VOL 26 – ISSUE 2
        • VOL 26 – ISSUE 3
      • 2021 YEAR
        • VOL 25 – ISSUE 1
        • VOL 25 – ISSUE 2
        • VOL 25 – ISSUE 3
      • 2020 YEAR
        • VOL 24 – ISSUE 1
        • VOL 24 – ISSUE 2
        • VOL 24 – ISSUE 3
      • 2019 YEAR
        • VOL 23 – ISSUE 1
        • VOL 23 – ISSUE 2
        • VOL 23 – ISSUE 3
      • 2018 YEAR
        • VOL 22 – ISSUE 1
        • VOL 22 – ISSUE 2
        • VOL 22 – ISSUE 3
      • 2017 YEAR
        • VOL 21 – ISSUE 1
        • VOL 21 – ISSUE 2
        • VOL 21 – ISSUE 3
      • 2016 YEAR
        • VOL 20 – ISSUE 1
        • VOL 20 – ISSUE 2
        • VOL 20 – ISSUE 3
      • 2015 YEAR
        • VOL 19 – ISSUE 1
        • VOL 19 – ISSUE 2
        • VOL 19 – ISSUE 3
      • 2014 YEAR
        • VOL 18 – ISSUE 1
        • VOL 18 – ISSUE 2
        • VOL 18 – ISSUE 3
      • Issue Archive
  • Categories
    • Oral and maxillofacial surgery
    • Periodontics and oral medicine
    • Pediatric and preventive dentistry
    • Restorative and aesthetic dentistry
    • Prosthodontics
    • Endodontics
    • Medically compromised and patients with special needs
    • Basic research
    • Orthodontics
    • Uncategorized
  • About Us
    • Aims and Scope
    • Editorial Board
    • Publication Policy
  • Contact Us

Treatment of gunshot-related mandibular fracture with splint-guided reduction: Case report

Balkan Journal of Dental MedicineOctober 17, 2022October 17, 2022

Download Article

Kaya Demeta, Konaş Ersoyb, Kocadereli İlkena, Emin Mavili Mehmetb

aHacettepe University, Faculty of Dentistry, Department of Orthodontics, Ankara, Turkey
bHacettepe University, Faculty of Medicine, Department of Plastic, Reconstructive and Esthetic Surgery, Ankara, Turkey

Summary

Background/Aim: Gunshot injury-related mandibular fractures often have a complex pattern, characterized by comminution, bone loss, and soft-tissue avulsion. The management is difficult and varies between individual cases. Case Report: A 41-year-old male patient presented with marked swelling and ecchymosis in the left mandibular region. Intraorally, he had a deviated open bite on the left side. A unilateral comminuted mandibular fracture was diagnosed by panoramic radiograph and computed tomography. An acrylic dental splint-guided open reduction and internal fixation, including intermaxillary fixation through brackets and intermaxillary elastics, was planned. No complications were observed throughout the healing period, and healing at the fracture site was satisfactory. The occlusion returned to the pre-injury position and was stable. Conclusions: This case report shows that successful functional and esthetic results can be achieved with a strict patient-specific treatment protocol for a comminuted mandibular fracture due to gunshot injury.

Keywords: acrylic dental splint; bracket; gunshot injury; mandibular fracture; open reduction; internal fixation

Reference

Alpert, B., Tiwana, P.S., Kushner, G.M. (2009) Management of Comminuted Fractures of the Mandible. Oral and Maxillofacial Surgery Clinics of North America, 21:185-192

Bakardjiev, A., Pechalova, P. (2007) Maxillofacial fractures in Southern Bulgaria: A retrospective study of 1706 cases. Journal of Cranio-Maxillofacial Surgery, 35: 147-150

Bede, S.Y.H., Ismael, W.K., Al-Assaf, D. (2017) Characteristics of mandibular injuries caused by bullets and improvised explosive devices: A comparative study. International Journal of Oral and Maxillofacial Surgery, 46: 1271-1275

Boffano, P., Kommers, S.C., Karagozoglu, K.H., Forouzanfar, T. (2014) Aetiology of maxillofacial fractures: A review of published studies during the last 30 years. British Journal of Oral and Maxillofacial Surgery, 52:901-906

Boffano, P., Roccia, F., Zavattero, E., Dediol, E., Uglešić, V., Kovačič, Ž., et al. (2015) European Maxillofacial Trauma (EURMAT) project: A multicentre and prospective study. Journal of Cranio-Maxillofacial Surgery, 43:62-70

Cohen, S.R., Leonard, D.K., Markowitz, B.L., Manson, P.N. (1993) Acrylic Splints for Dental Alignment in Complex Facial Injuries. Annals of Plastic Surgery, 31: 406-412

Demirdöver, C., Geyik, A., Yazgan, H.S., Ozturk, F.A., Cakmak, S., Vayvada, H., et al. (2018) Epidemiologic analysis and evaluation of complications in 1266 cases with maxillofacial trauma. Turk J Plas Surg, 26: 6-11

Elarabi, M.S., Bataineh, A.B. (2018) Changing pattern and etiology of maxillofacial fractures during the civil uprising in Western Libya. Medicina Oral Patología Oral y Cirugia Bucal, 23:248-255

Ellis, E., Muniz, O., Anand, K. (2003) Treatment considerations for comminuted mandibular fractures. Journal of Oral and Maxillofacial Surgery, 61:861-870

Gadicherla, S., Sasikumar, P., Gill, S.S., Bhagania, M., Kamath, A.T., Pentapati, K.C. (2016) Mandibular Fractures and Associated Factors at a Tertiary Care Hospital. Archives of Trauma Research, 5:e30574

Konaş, E., Tunçbilek, G., Kayikçıoğlu, A., Akcan, C.A., Kocadereli, I., Mavili, M.E. (2011) Splint-Assisted Reduction of Comminuted or Complex Maxillofacial Fractures. Journal of Craniofacial Surgery, 22: 1471-1475

Munante-Cardenas, J.L., Nunes, F.P.H., Passeri, L.A. (2015) Etiology, Treatment, and Complications of Mandibular Fractures. Journal of Craniofacial Surgery, 26: 611-615

Norris, O., Mehra, P., Salama, A. (2015) Maxillofacial Gunshot Injuries at an Urban Level I Trauma Center: b10-Year Analysis. Journal of Oral and Maxillofacial Surgery, 73: 1532-1539

Peleg, M., Sawatari, Y. (2010) Management of Gunshot Wounds to the Mandible. Journal of Craniofacial Surgery, 21:1252-1256

Rana, M., Warraich, R., Rashad, A., von See, C., Channar, K.A., Rana, M., et al. (2014) Management of comminuted but continuous mandible defects after gunshot injuries. Injury, 45: 206-211

Siddiqui, S.U., Iqbal, N., Baig, M.H., Mehdi, H., Haider, M.S. (2020) Efficacy of open reduction and internal fixation in achieving bony union of comminuted mandibular fractures caused by civilian gunshot injuries. Surgeon, 18:214-218

Wilkening, M.W., Patel, P.A., Gordon, C.B. (2012) External Fixation in a Low-Velocity Gunshot Wound to the Mandible. Journal of Craniofacial Surgery, 23:e418-419

Balkan Journal of Dental Medicine, 2021, vol. 25, br. 3, str. 188-192

Post navigation

Previous: Accidental injection of EDTA instead of anesthesia solution during root canal treatment: Case report
Next: Application of bio-resorbable membranes in preventing complications of lower jaw surgery

Categories

  • Basic research
  • Dental materials
  • Endodontics
  • Imaging
  • Implants
  • Infection control
  • Medically compromised and patients with special needs
  • Oral and maxillofacial surgery
  • Oral hygiene
  • Orthodontics
  • Other
  • Pediatric and preventive dentistry
  • Periodontics and oral medicine
  • Pharmacology
  • Prosthodontics
  • Restorative and aesthetic dentistry
  • Facebook
  • Author Guidelines
  • Publication Policy
  • Editorial Board
  • Submit Manuscript
  • Contact us
All Rights Reserved | Theme: BlockWP by Candid Themes.
Go to Balkan Stomatological Society