TY - JOUR PY - 2022// TI - Dental management of maxillofacial ballistic trauma JO - Journal of personalized medicine A1 - Brauner, Edoardo A1 - Laudoni, Federico A1 - Amelina, Giulia A1 - Cantore, Marco A1 - Armida, Matteo A1 - Bellizzi, Andrea A1 - Pranno, Nicola A1 - De Angelis, Francesca A1 - Valentini, Valentino A1 - Di Carlo, Stefano SP - e934 EP - e934 VL - 12 IS - 6 N2 - 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.

Language: en

LA - en SN - 2075-4426 UR - http://dx.doi.org/10.3390/jpm12060934 ID - ref1 ER -