Dentoalveolar considerations in the management of facial trauma

Facial trauma may result in damage to the structures of the mouth, both by direct insult and by hindering access for routine oral health and hygiene measures. Successful management must include consideration of the stomatognathic system. The four major areas of consideration are dentoalveolar response to the forces of trauma and repair, evaluation and management of changes in vitality of the dental pulp, control of infectious and inflammatory periodontal disease throughout the period of evaluation and management, and restoration of the dentition and supporting structures. Guidelines are offered for use in the management of patients with facial trauma in each specific area presented for consideration.