Laceration on the lip

A patient named Dani 51 years,female reported to Richardson dental and craniofacial hospital with a history of road traffic accident. When patient reported to us, her upper lip was bleeding and was complaining of mobile teeth. On examination it was found that there was laceration present on the upper lip and few teeth were fractured and mobile. Patient had severe difficulty in chewing or drinking and her occlusion was also dearranged. A advanced Cone Beam CT Scan was taken for the patient to see radiographically is there any fracture or the status of damaged teeth. clinical findings co-related well with the CBCT findings and there were 1 fractured teeth, and 3 mobile anterior teeth.

All the primary care was given, patient was admitted and fluids and antibiotics were given. After few of the primary required blood investigations splinting of the mobile teeth with the help of arch bar fixation, correction of occlusion , extraction of unrestorable fractured tooth and closure of the lacerated wound on upper lip was done. The teeth involved in trauma were later planned for root canal treatment after the surgery in subsequent follow up visits.

Post operatively patient achieved a satisfactory occlusion and was able to eat and chew properly. Her aesthetic concerns were also met as her lip healed well with a minimal scar. Patient is being advised for prosthetic crown to make the teeth functionally and esthetically more sound.