Maxillofacial ballistic trauma represents a devastating functional and aesthetic trauma. The extensive damage to soft and hard tissue is unpredictable, and because of the diversity and the complexity of these traumas, a systematic algorithm is essential. This study attempts to define the best management of maxillofacial ballistic injuries and to describe a standardized, surgical and prosthetic rehabilitation protocol from the first emergency stage up until the complete aesthetic and functional rehabilitation. In low-velocity ballistic injuries (bullet speed <600 m/s), the wound is usually less severe and not-fatal, and the management should be based on early and definitive surgery associated with reconstruction, followed by oral rehabilitation. High-velocity ballistic injuries (bullet speed >600 m/s) are associated with an extensive hard and soft tissue disruption, and the management should be based on a three-stage reconstructive algorithm: debridement and fixation, reconstruction, and final revision. Rehabilitating a patient with ballistic trauma is a multi-step challenging treatment procedure that requires a long time and a multidisciplinary team to ensure successful results. The prosthodontic treatment outcome is one of the most important parameters by which a patient measures the restoration of aesthetic, functional, and psychological deficits. This study is a retrospective review: twenty-two patients diagnosed with outcomes of ballistic traumas were identified from the department database, and eleven patients met the inclusion criteria and were enrolled.

Dental management of maxillofacial ballistic trauma / Brauner, Edoardo; Laudoni, Federico; Amelina, Giulia; Cantore, Marco; Armida, Matteo; Bellizzi, Andrea; Pranno, Nicola; DE ANGELIS, Francesca; Valentini, Valentino; DI CARLO, Stefano. - In: JOURNAL OF PERSONALIZED MEDICINE. - ISSN 2075-4426. - 12:6(2022). [10.3390/jpm12060934]

Dental management of maxillofacial ballistic trauma

Edoardo Brauner
Primo
;
Nicola Pranno;Francesca De De Angelis;Valentino Valentini
Penultimo
;
Stefano Di Di Carlo
Ultimo
2022

Abstract

Maxillofacial ballistic trauma represents a devastating functional and aesthetic trauma. The extensive damage to soft and hard tissue is unpredictable, and because of the diversity and the complexity of these traumas, a systematic algorithm is essential. This study attempts to define the best management of maxillofacial ballistic injuries and to describe a standardized, surgical and prosthetic rehabilitation protocol from the first emergency stage up until the complete aesthetic and functional rehabilitation. In low-velocity ballistic injuries (bullet speed <600 m/s), the wound is usually less severe and not-fatal, and the management should be based on early and definitive surgery associated with reconstruction, followed by oral rehabilitation. High-velocity ballistic injuries (bullet speed >600 m/s) are associated with an extensive hard and soft tissue disruption, and the management should be based on a three-stage reconstructive algorithm: debridement and fixation, reconstruction, and final revision. Rehabilitating a patient with ballistic trauma is a multi-step challenging treatment procedure that requires a long time and a multidisciplinary team to ensure successful results. The prosthodontic treatment outcome is one of the most important parameters by which a patient measures the restoration of aesthetic, functional, and psychological deficits. This study is a retrospective review: twenty-two patients diagnosed with outcomes of ballistic traumas were identified from the department database, and eleven patients met the inclusion criteria and were enrolled.
maxillofacial ballistic injuries; gunshot injuries; low-velocity ballistic wounds; high-velocity ballistic wounds; reconstructive surgery; dental rehabilitation; fixed implant-supported prosthesis
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Dental management of maxillofacial ballistic trauma / Brauner, Edoardo; Laudoni, Federico; Amelina, Giulia; Cantore, Marco; Armida, Matteo; Bellizzi, Andrea; Pranno, Nicola; DE ANGELIS, Francesca; Valentini, Valentino; DI CARLO, Stefano. - In: JOURNAL OF PERSONALIZED MEDICINE. - ISSN 2075-4426. - 12:6(2022). [10.3390/jpm12060934]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1639595
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