title: Diagnosis of jaw and dentoalveolar fractures in a traumatized patient with cone beam computed tomography.
abstract: The purpose of this case report is to discuss and illustrate the clinical usage of Cone Beam Computed Tomography (CBCT) for the diagnosis of maxillofacial fractures in a traumatized patient. In this presentation, a 30-year-old male patient who was referred to Oral Diagnosis and Radiology Department with a limitation of mouth opening was reported. The history of the patient revealed a traumatic injury on his face because of a fall. The patient was initially examined by a medical practitioner in the emergency department of a public hospital. According to 2D cephalometric analysis, no fracture existed. Panoramic radiograph and postero-anterior reverse-town showed bilateral condyle fractures. In addition, a fracture in the left mandibular incisor region could clearly be detected on the panoramic radiograph. For further diagnosis, digital images were taken with CBCT. Cross-sectional views showed two vertical fracture lines on the alveolar bone between teeth numbers 17, 18 and 14, 15. A palatal root fracture was observed associated with tooth number 18. A fracture line in the left mandibular incisor region as well as bilateral condyle fractures could be seen clearly on CBCT views. CBCT is becoming a popular tool in modern dental practise. In the diagnosis of dentoalveolar fractures, CBCT has made it possible for the practitioner to get more detailed information.
authors.affiliation: Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey.
authors.forename: Semanur
authors.initials: S
authors.lastname: Dölekoğlu
authors.forename: Erdoğan
authors.initials: E
authors.lastname: Fişekçioğlu
authors.forename: Dilhan
authors.initials: D
authors.lastname: Ilgüy
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ilgüy
authors.forename: Gündüz
authors.initials: G
authors.lastname: Bayirli
mesh_terms: D000328:Adult; D000539:Alveolar Process / Q000000981:diagnostic imaging / Q000293:injuries*; D054893:Cone-Beam Computed Tomography; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000293:injuries; D008337:Mandibular Fractures / Q000000981:diagnostic imaging*; D008440:Maxillary Fractures / Q000000981:diagnostic imaging*; D009104:Multiple Trauma / Q000000981:diagnostic imaging; D014082:Tooth Fractures / Q000000981:diagnostic imaging*; D014092:Tooth Root / Q000000981:diagnostic imaging / Q000293:injuries