ABSTRACT
Background:- Dento-alveolar fractures are one of the most common forms of maxillofacial injuries .The most common site of dento-alveolar fractures in upper anterior region and they may occur as isolated fractures or with other facial injuries. Aim:- To evaluate the efficacy of transgingival lag screws in Dento- alveolar fractures Purpose:- Maxillofacial injuries have been documented worldwide . Incidence in Indian scenario show significant percentage of reported dento alveolar fracture. Various modalities of treatment include bridal wiring, figure of 8 wiring, arch bar fixation, intermaxillary fixation , cap splints , using orthodontic wire with composite resin and Transgingival lag screws (TGLS). Material Method:- Efficacy of transgingival lag screws was assessed in terms of demographic data , time taken for placement and removal , Intra operative and post operative pain and complications if any were noted . Result:- 15 patients were treated for dentoalveolar fractures, 12 males and 3 females participated in the study with mean age 46.67 years (±10.004). Mean time taken for placement of TGLS was 21.33mins (±8.27) while mean time for removal of TGLS was 9.73 mins (±4.99).Mean intraoperative pain was 4.4(±2.19) and 1.06(±1.16) during postoperative phase.Gingival over growth and loosening of screw were major complications noted during our study Result:- 15 patients were treated for dentoalveolar fractures, 12 males and 3 females participated in the study with mean age 46.67 years (±10.004). Mean time taken for placement of TGLS was 21.33mins (±8.27) while mean time for removal of TGLS was 9.73 mins (±4.99).Mean intraoperative pain was 4.4(±2.19) and 1.06(±1.16) during postoperative phase.Gingival over growth and loosening of screw were major complications noted during our study
KEYWORDS:Dento-alveolar fractures, maxillofacial injuries, transgingival lag screws