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Related Experiment Videos

Endodontic therapy averting major surgery and avoiding keloid formation.

P D Marano, J A Korkosz, E W Rogers

    Oral Surgery, Oral Medicine, and Oral Pathology
    |April 1, 1978
    PubMed
    Summary

    Endodontic treatment of a fractured mandible with an abscessed tooth prevented major surgery and disfiguring keloids. This approach offers a less invasive option for managing complex mandibular fractures.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Endodontics
    • Trauma Management

    Background:

    • Mandibular fractures present complex treatment challenges, especially when complicated by infection or compromised dentition.
    • Keloid diathesis increases the risk of unfavorable scarring from surgical interventions.
    • Unfavorable mandibular fractures require careful management to restore function and minimize complications.

    Observation:

    • A patient with keloid diathesis sustained an unfavorable mandibular fracture involving a grossly carious, abscessed first molar.
    • This molar was the sole erupted tooth in the proximal fragment of the fracture.
    • The fracture line directly impacted the compromised tooth.

    Findings:

    • Endodontic therapy was performed on the abscessed first molar, restoring its contour and structural integrity.

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  • This endodontic intervention allowed for successful closed reduction of the fractured mandible.
  • The treatment successfully avoided the need for extensive surgery under general anesthesia.

    • Implications:

    • Endodontic management of fractured teeth in mandibular fractures can avert major surgical procedures.
    • Preserving dentition through endodontics can prevent complications like skin scarring, particularly in patients prone to keloids.
    • This case highlights a conservative yet effective strategy for managing complex maxillofacial trauma.