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Article: Volume 48 Number 2 Page 99 - February 2021

  Dent Update 2021; 48: 99-104  Read article

Oral surgery:  Fracture of the Maxillary Tuberosity: Troubleshooting in General Dental Practice and a Proposed Fracture Classification

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Abstract: A tuberosity fracture can prevent or delay the timely delivery of the most appropriate treatment option for a maxillary molar. This is a relatively common complication, but should not prevent treatment in general practice provided the clinician has adequately risk assessed, planned and obtained informed consent. Should a fracture occur, its initial management in general practice is encouraged. This article aims to improve patient outcomes by providing a troubleshooting guide. A fracture classification is suggested to aid assessment, recognition and management. Should referral to secondary care be required, a classification system will provide a basis for discussion and clarity on further management.

Clinical relevance: This article provides a tuberosity fracture classification to guide clinicians in the management of patients who have sustained such a fracture.

Author notes: Fiona Wright, BDS, MFDS (RCSEd), PGDip,Specialty Doctor in Oral and Maxillofacial Surgery, NHS Fife, Colin Ritchie, BDS, Meng, Specialty Registrar in Orthodontics, NHS Tayside, Nicholas J Malden, BDS, LDS, FDS (RCPSG), DDS, Consultant in Oral Surgery, NHS Lothian, and Eleni Besi, DDS, MFDS (RCSEd) MSc, PGCert, MOralSurg, MDTFEd, Consultant in Oral Surgery, NHS Lothian, Edinburgh Dental Institute. email: fiona.wright@nhs.scot

Objective: The reader should be able to understand the risk factors associated with tuberosity fractures, the potential consequences and how to manage a fracture should it occur.

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