- Intraoral lacerations
- Fractured teeth
- Fractured facial bones
- Fractured jaws
- Lip lacerations
- Facial lacerations
- Teeth that have been knocked out
- Numbness of the lip, cheek, tongue, nose
- Inability to open the mouth
- Change in the bite
- Visible step-off between teeth
- Deep laceration over bone
- Bleeding from the mouth or nose
The principles of treatment for facial bones are the same as for a broken arm or leg. The parts of the bones must be lined up (reduced) and held in position long enough to allow them to heal (stabilization and/or fixation). Treatment is determined by the patient’s age, health, and the complexity of the fracture. Simple fractures are treated by “closed reduction”, which means simple manipulation of the fracture segments without major surgery. This will often include wiring the jaws together for approximately six weeks. However, other types of fractures of the jaw are best treated by the surgical placement of small “bone plates and screws” at the involved site. This technique of treatment can often reduce the time that the jaws are wired together. The relatively recent development and use of “rigid fixation” has profoundly improved the recovery period for many patients by allowing them to return to normal function more quickly. The treatment of facial fractures should be accomplished in a thorough and predictable manner. Importantly, the patient’s facial appearance should be minimally affected. An attempt at accessing the facial bones through the fewest incisions necessary is always made. At the same time, the incisions that become necessary are designed to be small and whenever possible, are placed so that the resultant scar is “hidden” such as in the hairline, under the jaw or in skin creases.
Soft Tissue Injuries of the Face
When soft tissue injuries, such as lacerations, occur on the face, they are repaired by “suturing”. In addition to the obvious concern of providing a repair which yields the best cosmetic result possible, care is taken to inspect for injuries to structures such as facial nerves, salivary glands and salivary ducts. Your doctor is a well-trained Oral and Maxillofacial surgeon and is proficient at diagnosing and treating facial lacerations.