The role of the military dental surgeon in treating facial injuries: a case report.

Abstract:

:This article describes the circumstances surrounding an intense, constant pain in the temporal region (visual analog scale 9-10) experienced by a 22-year-old combat officer in the Israel Defense Forces following a mild facial injury. The officer's wound included penetration of shrapnel particles into the facial skin, causing severe pain. Evaluations performed by a general surgeon, neurologist, psychiatrist, and otorhinolaryngologist did not reveal the source of this pain. Finally, a dental examination revealed that shrapnel had penetrated into the intraoral buccal mucosa near the right upper first molar. A "cold test" indicated the need for endodontic treatment of this tooth. After the treatment was completed, the patient's headache disappeared immediately, and the patient did not experience pain during a 6-month follow-up period. This case emphasizes the need for a dental surgeon to perform a meticulous intraoral examination in cases involving facial wounds.

journal_name

Mil Med

journal_title

Military medicine

authors

Zadik Y

doi

10.7205/milmed.172.12.1284

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

1284-6

issue

12

eissn

0026-4075

issn

1930-613X

journal_volume

172

pub_type

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