Splinting of jaw fracture
Splinting the jaw while the fracture can be carried out for children from 3 years. Those who have not yet reached this age, imposed a special bone joint. Such manipulation is often carried out in severe injuries, such as dislocation and fracture of the jaw. This procedure helps to restore the bone even in the worst cases, but the process will be long and unpleasant. Before you start splinting, doctor examines the damaged area and making a panoramic picture. Based on the results of inspection and readings of the x-ray specialist thinks the most effective treatment.
Indications for the procedure
Prerequisites to perform splinting fractures of the upper and lower jaws. The procedure for fixing bones in a stationary state must necessarily be carried out at the stage of transporting the patient to the hospital. Temporary splinting in the prehospital setting allows to prevent the deterioration of the injury during transportation of the victim. To lock the jaw in a stable state by using bandages.
Doctors usually resort to the method of dressing of Orange-Urban or use the technology of Hippocrates. The complete process of splinting in the clinical setting, performs oral and maxillofacial surgeon.
Varieties of methods
In medical practice there are 3 ways of conducting splinting: unilateral, bilateral and claw. The bus can overlap both the lower and upper bone, and the need for treatments is determined by a physician based on the complexity of the injury.
Unilateral splinting is used for the treatment of fracture of 1 of the halves of the jaw. The tire is composed of copper wire and overlaid on affected area with the help of razumnogo fastening. If the jaw is injured, the teeth in the damaged parts are removed. If the teeth were intact, a unilateral splinting is a unified system, so the tire is placed on the neck of the bone elements.
Bilateral splinting requires a more rigid wire. When the lower or upper jaw is damaged completely, to heal properly, it must be securely fastened. To achieve stable fixation doctors are sometimes added to the wire design hooks, rings and other mounting hardware from your Arsenal.
Claw splinting is used in extreme cases with simultaneous fractures of the upper and lower bone, which is accompanied by an offset. If remained stable intact teeth that are loose, a copper wire is installed on them. In the presence of loose elements in the tire superimposed with holes drilled in the alveolar bone. To ensure reliable fixation of the jaw are interconnected by a special rubber rings, and they attached the hooks.
The essence of the therapeutic effect of splinting of the jaw is to limit movements of the bones. Cracks and fractures can quickly and correctly to coalesce only with the stillness of a wounded area. In the absence of movements of the jaws are correctly restored and the bite. Often used chin sling is a device holding the chin up and locking him in this state. Splinting fracture of the lower jaw can be replaced by other supporting devices, but they are bulky and uncomfortable.
The principle of operation, which provides bus, simple. The main tool of copper or aluminum wire with a cross section of about 2 mm, which serves as a latch. It touches for a long period of tissue (can be whole bones, nastayshie teeth) and connect with the damaged part of the bone. Universal bus with the broken jaw doesn’t exist as a device acquires its unique shape of each patient individually, depending on personal characteristics and nuances of the injury.
Usually used the bus Tigerstedt. This device is a construction of loops for gear and rubber rods. On average, 1 person consumes about 17-20 g wire. Many doctors use parallel aluminum and bronze-aluminum materials.
The healing process
Fixing bones in a stationary state excludes the possibility of a normal meal. Treatment in severe dislocation or fracture of the jaw restricts the diet of the victim, so often the patient loses weight due to the fact that you have to eat only liquid and mushy food. Alcohol and harmful fatty foods is strictly forbidden, as it may cause vomit, that man is able to choke because of the fixed position of the jaws. While wearing the tires and also the period of development after its withdrawal it is important to follow the advice of the attending physician and dentist.
It is important to pay special attention to the food, because of difficulties with chewing and digestibility of food weight reduction is inevitable. Weight is gradually recovering after the treatment.
So how to eat during therapy is necessary through a tube, the best options are high-calorie smoothies, soup, yogurt, yogurt, juices, etc.
A special place in the diet of the patient should take foods that contain calcium. To fill this trace element in the body is extremely important, because it speeds up the healing process of bone and joints, strengthens the bones themselves. In addition to special vitamin supplements prescribed by the attending physician, should pay attention to products that contain it. Among them, the most recommended options are: nuts (almonds, walnuts, hazelnuts), cheese and other dairy products, sesame seeds, Basil, parsley.
Surgery to splinting of the jaws is assigned after analysis of x-rays or CT/MRI. Often performed under local anesthesia. General anesthesia before applying the bus is selected when the patient or when the treatment of the child. The last 2 hours before surgery, forbidden to drink, and eat not about 7 hours before medical procedures.
In adults the process of splinting often takes place under local anesthesia. Multiple fractures and other complications may require additional input of antibiotics. It is mandatory antibiotic therapy, as the risk of infection in the injured bone and damaged mucosa are too high. As insurance do the injection against tetanus.
If you need to do splinting the patient should be prepared for the fact that, most likely, some teeth will have to be removed. Located on the line of a fracture or severe dislocation of the tooth can aggravate the injury and subsequently prevent the treatment. In most cases, this arrangement leads to the emergence of infections due to accumulated pus. The healing of such injuries as a fracture of the jaw, occurs within 3-4 months. It’s important to undergo regular inspection and to consult with the physician who if necessary, will adjust the position of the tire.