21440 Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Name of the Procedure:

Closed Treatment of Mandibular or Maxillary Alveolar Ridge Fracture

Summary

This procedure involves the non-surgical realignment of a fractured alveolar ridge in the jaw. The alveolar ridge is the bony ridge in the mouth containing tooth sockets. The treatment typically involves stabilizing the fractured bone without making any incisions.

Purpose

The procedure aims to treat fractures in the alveolar ridge of the mandible (lower jaw) or maxilla (upper jaw). The main goals are to stabilize the bone, promote proper healing, and restore normal function and appearance of the jaw.

Indications

• Trauma or injury to the mouth resulting in a fractured alveolar ridge
• Difficulty in chewing or speaking due to jaw fracture
• Noticeable displacement or misalignment of teeth following an injury
• Swelling, bruising, or pain in the jaw area

Preparation

• Patients may be advised to fast for a certain period before the procedure, especially if sedation is planned.
• Adjustments to current medications might be required, such as stopping blood thinners.
• Initial diagnostic imaging, such as X-rays or CT scans, to assess the extent of the fracture.

Procedure Description

1. Diagnostic imaging is reviewed.
2. Local anesthesia or sedation is administered to ensure patient comfort.
3. The fractured bone is realigned manually by the surgeon.
4. Stabilizing methods, such as dental splints or wires, may be applied to maintain the proper position of the bone.
5. Post-procedure imaging might be done to confirm successful alignment.

Duration

The procedure typically takes 30 minutes to an hour, depending on the complexity of the fracture.

Setting

The procedure is usually performed in a hospital, outpatient clinic, or surgical center.

Personnel

• Oral and maxillofacial surgeon or a trained dentist
• Anesthesiologist or nurse anesthetist (if sedation is used)
• Surgical nurses or dental assistants

Risks and Complications

• Infection at the site of the fracture
• Improper alignment or healing of the bone
• Injury to adjacent teeth or structures
• Persistent pain or discomfort
• Nerve damage leading to numbness or tingling

Benefits

• Proper alignment and stabilization of the fractured bone
• Restoration of normal function and appearance of the jaw
• Reduced pain and discomfort, with benefits typically realized within a few weeks post-procedure

Recovery

• Post-procedure care may include pain management with prescribed medications and anti-inflammatory drugs.
• Patients are usually advised to follow a soft or liquid diet for several weeks.
• Good oral hygiene practices must be maintained to prevent infection.
• Follow-up appointments are necessary to monitor the healing process and remove any stabilizing devices.

Alternatives

• Open surgical treatment, involving incisions and direct access to the fracture site.
• Conservative management with observation, in cases of minor or non-displaced fractures.
• Pros of closed treatment include less invasive nature and quicker recovery; cons may include the risk of improper alignment without surgical visualization.

Patient Experience

During the procedure, patients will be under local anesthesia or sedation, minimizing pain and discomfort. After the procedure, mild to moderate pain and swelling are common but manageable with prescribed medications. Comfort measures such as ice packs and soft foods can help alleviate discomfort during recovery.