An unusual presentation of a maxillary alveolar fracture in a child

Author:

Chapman Sara1,Millwaters M2,Shah S3

Affiliation:

1. Specialty Registrar in Paediatric Dentistry, Guy's and St Thomas' NHS Trust, London

2. Consultant in Oral and Maxillofacial Surgery, The Royal London Dental Hospital, Barts NHS Trust, London

3. Consultant in Paediatric Dentistry, The Royal London Dental Hospital, Barts NHS Trust, London

Abstract

This case report outlines the unusual presentation of a maxillary alveolar fracture in a 12-year-old child. It is common to see bruising of the attached gingivae and sulcal area, along with a step deformity, mobile fragment and sometimes luxation injuries. In this case, we saw no intra-oral bruising, no obvious luxation injury and the dento-alveolar fragment was not mobile. After the initial treatment, the upper left central and lateral incisors maintained vitality. This case report aims to raise awareness for recognizing less obvious clinical features in alveolar bone fractures, thus improving outcomes for traumatic injuries in child patients. CPD/Clinical Relevance: To recognize atypical clinical features of a maxillary fracture after a delayed presentation in a paediatric patient.

Publisher

Mark Allen Group

Subject

General Dentistry

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