Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report

A literature review of bone and tooth fracture from accident and the proper treatment. One case of 41 year old Thai woman is reported of the treatment for an alveolar bone fracture; uncomplicated crown fracture and tearing of soft tissue in oral cavity from an accident by suturing soft tissue, closed reduction of alveolar bone and restoration of crown fracture. Alveolar bones were splinted with wire composite splint from #13 to #23. The splint was fixed by acid etching, using light curing composite resin method. The stitches were stitched off 1 week later and the splint were removed 6 weeks later. The patient had no complications with normal bone healing, normal occlusion, vital tooth, no mobility of teeth, and no complaints. After one year follow up, there was no complications. The patient could keep the alveolar bone, and teeth from accident.

1. Andreasen JO, Andreasen F, Andersson L. Textbook and color atlas of traumatic injuries to the teeth, 4th ed. Oxford: Blackwell Munksgaard; 2007.

2. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol. 2004; 20:192- 202.

3. Kaste LM, Gift HC, Bhat M, Swango PA. Prevalence of incisor trauma in persons 6-50 years of age: United States, 1988-1991. J Dent Res 1996; 75: 696-705.

4. Ingle JI, Bakland LK, Teton Data Systems (Firm). Endodontics. 5th ed. Hamilton: Decker; 2002.

5. Lin S, Levin L, Goldman S, Peleg K. Dentoalveolar and maxillofacial injuries: a 5-year multi-center study. Part 1: General vs facial and dental trauma. Dent Traumatol. 2008; 24: 53-55.

6. เชื้อโชติ หังสสูต. ศิลปศาสตร์ช่องปากและแม็กซิลโลเฟเชียล. พิมพ์ครั้งที่ 1. กรุงเทพมหานคร. เยียร์บุ๊คพับลิชเชอร์; 2536: 285-292.

7. เพียงพิศ จิตรมรีวรรณ. การรักษาฟันปลายรากเปิดที่ยื่นขวางจากเบ้าฟัน (Extrusion Tooth) เนื่องจากอุบัติเหตุ: รายงานผู้ป่วย

8. World Health Organization. Application of the international classification of diseases to dentistry and stomatology : ICD-DA. 3rd ed. Geneva[Albany, N.Y.: World Health Organization ;available from WHO Publications Center]; 1995.

9. The American Academy of Pediatric Dentistry. Guideline on management of acute dental injury. Council on Clinical Affairs. 2007; 29. 169-174.

10. National Guideline Clearinghouse. Clinical guideline on management of acute dental trauma. 2004; Retrieve on March 20, 2008. From http://www. Guideline.gov

11. Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 3rd ed. Copenhagen, Denmark: Munksgaard; 1994: 219-425, 750.

12. Flores MT, Andersson L, Andreasen JO, et al. Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth. Dent Traumatol. 2007; 23: 66-71.

13. Flores MT. Traumatic injuries in the primary dentition. Dent Traumatol. 2002; 18: 287-298. 14. Andreasen JO, Andreasen FM. Essentials of Traumatic Injuries to the Teeth. 2nd ed. Copenhagen, Denmark: Munksgaard and Mosby; 2000: 9-154.

15. Olsburgh S, Jacoby T, Krejci I. Crown fractures in the per-manent dentition: Pulpal and restorative considerations. Dent Traumatol 2002; 18: 103-115.

16. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol 2004; 20: 203-211.

17. Al-Jundi SH. Type of treatment, prognosis, and estimation of time spent to manage dental trauma in late presentation cases at a dental teaching hospital: a longitudinal and retrospective study. Dent Traumatol 2004; 20:1-5.

18. Yamakawa M, Sato T, Mitsuse T, Kawaguchi T. Dental injury with alveolar bone fracture during mechanical ventilation: a case report. J Anest. 2000; 14: 42-44.

19. Baliga M, Shenoy V, Krishna L. Quick technique for immobilisation of dentoalveolar fracture. Br J Oral Maxillofac Surg 2003; 41: 417.

20. Bach N, Baylard JF, Voyer R. Orthodontic extrusion: periodontal considerations and applications. J Can Dent Assoc 2004; 70: 775- 780.

21. US Patent Issue. Dental splint. 2006; Retrieve on March 20, 2008. From http:// www.patentstorm.us/patent/7048542_ description.html

22. Filippi A, Von Arx T, Lussi A. Comfort and discomfort of dental trauma splints - a comparison of a new device (TTS) with three commonly used splinting techniques. Dent Traumatol 2002; 18: 275-280.

23. Supabha BS, Morgra S. Manage of a rare combination of dental trauma: A case report. Traumatic Injury 2007; 25: 25-29.

Rungthong P. Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report: A case reports/series. CM Dent J [Internet]. 2024 Dec 09 [cited 2025 May 03];29(1):105-115. Available from: https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=422

& Rungthong, P. (2024). Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report. CM Dent J, 29(1), 105-115. Retrieved from: https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=422

Rungthong, P., . 2024. "Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report." CM Dent J, 29(1), 105-115. https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=422

Rungthong, P. et al. 2024. 'Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report', CM Dent J, 29(1), 105-115. Retrieved from https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=422

and Rungthong, P. "Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report", CM Dent J, vol.29, no. 1, pp. 105-115, Dec. 2024.

Pornnarong Rungthong "Treatment of Alveolar Bone Fracture with Uncomplicated Crown Fracture: Literature Review and A Case Report." CM Dent J, vol.29, no. 1, Dec. 2024, pp. 105-115, https://www.dent.cmu.ac.th/cmdj/frontend/web/?r=site/viewarticle&id=422