학술논문

A Case of Lockjaw by Penetration of Deciduous Incisors into the Lower Lip / 外傷により乳前歯が下唇へ刺入した1例―開口不能の現状と要因―
Document Type
Journal Article
Source
小児歯科学雑誌 / The Japanese Journal of Pediatric Dentistry. 2021, 59(3):161
Subject
Lockjaw
Medical cooperation
Trauma
医療連携
外傷
開口不能
Language
Japanese
ISSN
0583-1199
2186-5078
Abstract
The patient was a 3-year-old boy who was referred to our department for a more detailed examination for lockjaw caused by physical trauma. He had been unable to open his mouth for a week after the injury, making it difficult to eat. Penetration of the mandibular deciduous incisors and maxillary deciduous canines into the lower lip and root fracture of the mandibular left deciduous central incisor were confirmed by a simple CT scan of the head and neck. When an attempt was made to open the mouth under intravenous sedation, the deciduous canines on both sides of the maxilla came off from the lower lip, and an opening of about one finger width became possible. Therefore, the lower lip was debrided and lockjaw was released. Upon follow-up observation, the patient's lower lip wounds had healed, the lockjaw improved, and he was able to consume food.