Emergency Treatment of Dentoalveolar Fracture in Children with the Ernst Wiring: A Case Report

Abstract

Introduction: Dentoalveolar fracture is damage or interruption of hard tissue continuity in the tooth structure and alveolar bone caused by trauma. Dentoalveolar fractures in children require special considerations in treatment so as not to interfere with the growth of bones and teeth. The purpose of this case report is to describe the emergency treatment of dentoalveolar fracture using ersnt wiring in a 4-year-old boy.

Case report: The patient came to the emergency room at Hasan Sadikin Hospital Bandung complaining of bleeding from the mouth due to a fall with his chin hitting the floor about 4 hours before. The results of the extraoral clinical examination found lacerations on the chin with irregular edges, and the base of the muscle and intra-oral found puncture wounds on the lower lip and lacerations in the gum area, teeth 52-62, enamel fractures on teeth 71 accompanied by tooth mobility 71-81. The patient was diagnosed with a dentoalveolar fracture of teeth 71-81, Vulnus punctured region of the lower lip, and Vulnus lacerated area of chin and gums. The treatment for this case was wound debridement, suturing, and Ernst wiring on teeth 71-81. 

Conclusion: Emergency treatment of dentoalveolar fractures in children with primary teeth using Ernst wiring is excellent, easy, and fast to do and can prevent complications in both soft tissue and alveolar bone and teeth.

Key Words: Dentoalveolar Fracture, Primary Teeth, Ernst Wiring, Emergency