Facial Trauma

Dental specialists focusing on treating facial injuries, particularly Oral and Maxillofacial surgeons, possess the expertise to address a broad spectrum of concerns related to facial trauma. Their comprehensive skill set allows them to handle emergency care, long-term reconstruction, acute treatment, and physical and mental rehabilitation.

Oral and Maxillofacial surgeons are specifically trained to manage facial trauma, recognizing the dual impact of both physical and mental aspects of injuries to the face. This requires a well-balanced approach and an understanding of the emotional implications of such procedures on the patient. Our doctors are well-equipped with the necessary skills and experience to repair facial trauma effectively, restoring both function and confidence.

These specialists often work in collaboration with local hospitals and are available to provide emergency room treatment for various facial injuries, including but not limited to:

  1. Intraoral lacerations
  2. Knocked out or avulsed teeth
  3. Fractured facial bones such as those in the cheek, eye socket, or nose
  4. Fractured jaws

By addressing a range of facial injuries, oral and maxillofacial surgeons play a crucial role in repairing physical damage and aiding in the patient’s psychological and emotional recovery. Their ability to handle both the visible and less apparent consequences of facial trauma reflects their commitment to comprehensive care for individuals facing such challenges.

The Nature Of Maxillofacial Trauma

Facial trauma can result from a diverse range of incidents, including sports injuries, car accidents, violence, work-related accidents, and accidental falls. These events can cause significant damage to teeth and the skin and bones of the face. Facial injuries are broadly classified into three categories, encompassing various aspects of the face:

  1. Soft Tissue Injuries:

    • This category involves injuries to the skin and underlying soft tissues.
    • It includes bone injuries or fractures that may affect the facial structure.
    • Soft tissue injuries can result in contusions, lacerations, or bruising on the face.
  2. Skin and Gum Damage:

    • Facial trauma can lead to damage to the skin and gums.
    • Injuries in this category may involve cuts, abrasions, or other damage to the external layers of the face.
    • Gum damage can occur due to impacts, leading to lacerations or other injuries.
  3. Injuries to Specific Regions:

    • This category focuses on injuries affecting specific regions or components of the face.
    • It may include eye injuries, involving damage to the orbital bones or surrounding structures.
    • Facial nerve injuries or damage to the salivary glands are also considered within this classification.

The diverse nature of facial injuries underscores the need for specialized care from oral and maxillofacial surgeons who are well-equipped to address both the visible and less apparent consequences of trauma. Treatment approaches may vary depending on the nature and severity of the injury, to restore both function and aesthetics while considering the emotional impact on the patient.

Bone Injuries To The Maxillofacial Region

Managing fractures in the face follows similar principles as other bones in the body, with the chosen treatment method depending on factors such as the break’s location, the fracture’s severity, its age, and the patient’s overall health. 

Unlike most bones, casts cannot be applied to the face. Creative methods effectively stabilize facial fractures, such as wiring the jaws together for specific upper or lower jaw fractures. Another approach involves using small plates and screws for surgical stabilization, known as rigid fixation. This method eliminates the need to wire the jaws together, expediting recovery times and restoring function more rapidly, making it a preferred option.

Preserving the patient’s physical appearance is crucial when treating facial fractures. This involves minimizing the impact on appearance by using the fewest incisions necessary to achieve the treatment goal. Incisions are strategically designed to be as small and inconspicuous as possible, reducing scars and minimizing cosmetic damage. 

Injuries To The Teeth & Neighbouring Dental Structures

Tooth injuries are common occurrences that often require the expertise of various dental specialists. Oral surgeons are frequently called upon to address fractures in supporting bone or to replace/replant knocked-out or damaged teeth. Splinting methods, where teeth are stabilized by bonding them together using wiring, are commonly employed to treat these injuries. In cases where a tooth is avulsed or knocked out, preserving it in saltwater or milk is the best way to maintain its viability.

Time is of the essence in such situations, as the prompt reinsertion of the tooth into its socket significantly increases the chances of survival. I’d like to point out that seeking the help of a dental or oral surgeon immediately is crucial. It is important not to wipe off the tooth, as remnants of the ligament anchoring it to the jaw may be present and are vital for successful replantation. Other dental specialists, such as endodontists, may become involved in root canal therapy, or restorative dentists may address fractured teeth. Dental implants are frequently employed to replace irreparably damaged or unsalvageable teeth.

Managing facial injuries, including tooth injuries, falls within the purview of specialized dentists with extensive experience and knowledge in emergency care, long-term reconstruction, and rehabilitation. Oral surgeons and other dental specialists are well-equipped to handle facial trauma, restoring functionality and aesthetics with a focus on preserving the patient’s oral health.