Maxillofacial injuries /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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Maxillofacial injuries /certified fixed orthodontic courses by Indian dental academy

  1. 1. MAXILLOFACIAL INJURIES INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  3. 3. MAXILLOFACIAL INJURIES • FUNCTION “APPEARANCE” • SMELL • EAT • SEE • HEAR • TALK • BREATHE www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  4. 4. MAXILLOFACIAL INJURIES TRAUMA: PHYSICAL FORCE RESULTS IN INJURY F = mv2 ETIOLOGY • ASSAULTS • FALL • INDUSTRIAL ACCIDENTS • RTA • SPORTS INJURIES • WAR INJURIES GK / MAXFAC SDM DHARWAD www.indiandentalacademy.com
  5. 5. MAXILLOFACIAL INJURIES SERIOUS TRAUMA: DEATH TRIMODAL DISTRIBUTION • SECONDS TO MINUTES • MINUTES TO HOURS (GOLDEN HOUR) • AFTER DAYS www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  6. 6. MAXILLOFACIAL INJURIES GOLDEN HOUR COMPLICATIONS UNRECOGNIZED SERIOUS AIRWAY CERVICAL SPINE HAEMORRHAGE www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  7. 7. MAXILLOFACIAL INJURIES GOLDEN HOUR AIRWAY BREATHING CIRCULATION DEFORMITY EXPOSURE www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  8. 8. MAXILLOFACIAL INJURIES GOLDEN HOUR AIRWAY • SUCTION • CHIN LIFT - JAW THRUST • AIRWAYS • CRICO / TRACHY • OXYGEN www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  9. 9. MAXILLOFACIAL INJURIES GOLDEN HOUR BREATHING CHEST INJURY • Pneumothorax • Cardiac tamponade • Ruptured diaphragm www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  10. 10. MAXILLOFACIAL INJURIES GOLDEN HOUR CIRCULATION I.V. ACCESS TRANSFUSION Hypovolemia- SHOCK www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  11. 11. MAXILLOFACIAL INJURIES GOLDEN HOUR: CIRCULATION Hypovolemic shock • Tachycardia • Hypotension • Cold clammy skin • Loss of peripheral pulse • Falling urinary output • Confusion & disorientation www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  12. 12. MAXILLOFACIAL INJURIES GOLDEN HOUR DISABILITY Patient’s response ‘AVPU’ Awake Verbal stimuli Painful stimuli Unconscious www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  13. 13. MAXILLOFACIAL INJURIES DIAGNOSIS & TREATMENT PLAN Eye witness report Clinical diagnosis (ABCDE) Neurological examination - G.C.S - Cranial Nerves www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  14. 14. EYE OPENING MOTOR RESPONSE www.indiandentalacademy.com VERBAL RESPONSE GK / MAXFAC SDM DHARWAD
  15. 15. MAXILLOFACIAL INJURIES Secondary survey ABDOMEN Occult blood sequestration Tenderness / acute abdomen Gastric decompression (N.G tube) Direct peritoneal lavage www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  16. 16. MAXILLOFACIAL INJURIES Secondary survey EXTREMITIES Reduced perfusion Traumatic amputation Compartmental Syndrome Site for major blood loss (1-6 units) www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  17. 17. MAXILLOFACIAL INJURIES EXTRA-ORAL EXAMINATION Inspection • Swelling • Hematoma • Skin lacerations / defects • Facial nerve • Mouth opening www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  18. 18. MAXILLOFACIAL INJURIES EXTRA-ORAL EXAMINATION Palpation • Tenderness • Crepitation • Contour irregularities (step) • Depressed / Penetrating bone www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  19. 19. MAXILLOFACIAL INJURIES EXTRA-ORAL EXAMINATION Soft tissues (contusion tissue loss) Foreign bodies Nerves Ducts Blood vessels (remember tetanus) www.indiandentalacademy.com (NOSE / EAR / EYE) GK / MAXFAC SDM DHARWAD
  20. 20. MAXILLOFACIAL INJURIES INTRA-ORAL EXAMINATION Inspection • Asymmetry, Swelling • Bleeding, Hematoma • Occlusal plane / Step deformity • Mucosal lacerations • Teeth: fracture avulsion dislocation www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  21. 21. MAXILLOFACIAL INJURIES INTRA-ORAL EXAMINATION Palpation • Bimanual • Tenderness • # line / Step deformity • Crepitation • Teeth movement, Number • Missing parts • Sensory distribution V1 - V3 www.indiandentalacademy.com ( SALIVARY GLANDS / TONGUE / PALATE ) GK / MAXFAC SDM DHARWAD
  22. 22. MAXILLOFACIAL INJURIES RADIOGRAPHIC EXAMINATION (based on clinical examination) Plain radiographs Location & Severity of fractures Radio-opaque foreign bodies CT scans Intra-cranial injuries Orbital & naso-ethmoidal injuries www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  23. 23. MAXILLOFACIAL INJURIES Primary management (ABCDE) Neurological assessment (GCS) Control of pain analgesics Control of infection antibiotics Surgical planning GK / MAXFAC SDM DHARWAD www.indiandentalacademy.com
  24. 24. MAXILLOFACIAL INJURIES Classification of fractures 1)Relation to overlying soft tissues Closed / Simple Open / Compound Complicated 2)Type of fracture Green stick Single Multiple Comminuted www.indiandentalacademy.com ( oblique / transverse / sagittal & degree of dislocation ) GK / MAXFAC SDM DHARWAD
  25. 25. MAXILLOFACIAL INJURIES Classification of fractures 3) Anatomical Location Additional features • Pathologic • Atrophic • Impacted • Direct / indirect (contra-coup) • Blow out / in www.indiandentalacademy.com GK / MAXFAC SDM DHARWAD
  26. 26. THANK YOU For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com
  27. 27. T hank You For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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