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Related Experiment Videos

Complete tooth extraction: a case report.

Brett D Crist1, Randall L Lais

  • 1Department of Surgery, Section of Orthopaedics, University of Kansas School of Medicine-Wichita, and Via Christi Regional Medical Center-St. Francis Campus, Wichita, Kansas, USA.

Journal of Orthopaedic Trauma
|August 13, 2002
PubMed
Summary
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A unique case highlights the importance of thorough secondary surveys in trauma care. A tooth found in a hand wound after a car accident underscores the need for detailed examinations to prevent complications.

Area of Science:

  • Emergency Medicine
  • Trauma Surgery
  • Clinical Case Study

Background:

  • The Advanced Trauma and Life Support (ATLS) protocol guides systematic evaluation of trauma patients.
  • Initial assessment prioritizes life-threatening injuries, followed by a secondary survey for less obvious ones.

Observation:

  • A 17-year-old male sustained injuries in a motor vehicle accident, including an open toe fracture and a left hand avulsion.
  • During follow-up for a hand wound, a tooth was discovered within the avulsed tissue, complicated by cellulitis.

Findings:

  • The patient required surgical foreign body removal, incision and drainage, and antibiotic therapy for the infected hand wound.
  • The tooth, initially unnoticed, was identified during a subsequent examination of the hand injury.

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Implications:

  • This case underscores the critical importance of the ATLS secondary survey and serial examinations in identifying all injuries.
  • Thoroughness in trauma assessment can prevent delayed diagnosis and complications such as infection from retained foreign bodies.