Asunto(s)
Diagnóstico Bucal , Salud Bucal/normas , Manejo de Atención al Paciente/organización & administración , Diagnóstico Bucal/métodos , Diagnóstico Bucal/organización & administración , Quimioterapia/métodos , Implantación de Prótesis de Válvulas Cardíacas/métodos , Humanos , Radioterapia/métodos , Derivación y ConsultaRESUMEN
We report on the non-surgical management of an adult female whose bilateral mandibular condylar fractures had resulted in a clockwise (posterior) mandibular rotation, limitation of mandibular movements and increased occlusal loading on the molar teeth. She refused maxillary surgery and was treated with a minimally-invasive approach, involving orthodontic fixed appliances and mini-implant intrusion of the maxillary molar teeth. This provided both occlusal and functional improvements, including a significant increase in the inter-incisal distance, which were stable after one year of retention.
Asunto(s)
Cóndilo Mandibular/lesiones , Fracturas Mandibulares/terapia , Métodos de Anclaje en Ortodoncia/instrumentación , Diseño de Aparato Ortodóncico , Aparatos Ortodóncicos , Técnicas de Movimiento Dental/instrumentación , Cefalometría/métodos , Implantes Dentales , Femenino , Humanos , Maloclusión Clase II de Angle/etiología , Maloclusión Clase II de Angle/terapia , Fracturas Mandibulares/complicaciones , Persona de Mediana Edad , Miniaturización , Diente Molar/patología , Mordida Abierta/etiología , Mordida Abierta/terapia , Rango del Movimiento Articular/fisiología , Síndrome de la Disfunción de Articulación Temporomandibular/etiología , Síndrome de la Disfunción de Articulación Temporomandibular/terapia , Resultado del Tratamiento , Trismo/etiología , Trismo/terapiaRESUMEN
BACKGROUND: Recent international publications have noted a sustained increase in the incidence of head, face, and neck (HFN) wounds in comparison with total battle injuries from the 20th to the 21st century. The aim of this review was therefore to perform an analysis of the epidemiology of all HFN injuries sustained by British forces in Iraq and Afghanistan from March 1, 2003, to December 31, 2008. METHODS: Descriptive injury data for this research were obtained from the Joint Theater Trauma Registry and overall battle injury and evacuation figures from the Defense Analytical and Statistical Agency. RESULTS: During this period, 448 servicemen sustained injuries to their HFN. A total of 71% of HFN injuries were sustained in battle. Of all service personnel sustaining HFN injuries, 32% died before the field hospital and a further 6% died subsequently. A total of 73% of injuries required evacuation back to the United Kingdom, whereas 27% of injuries were managed definitively in the theater of operations. HFN injuries altogether were found in 29% of battle injuries between 2006 and 2008. CONCLUSIONS: The individual incidences of head (15%) and face (19%) injuries in relation to total battle injuries, although greater than seen in previous United Kingdom conflicts, were only slightly higher than that seen by US forces. The incidence of neck injury alone in relation to total battle injuries of 11% in United Kingdom forces in comparison with 3% to 5% found in US forces warrants further investigation. This article also provides further evidence to support the existing published opinion of multiple international authors in the requirement to develop innovative methods of protecting the vulnerable HFN regions.
