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surface Epidermis amp。 fell to hard object Subdermal tissue (no open wound) 2022/8/15 37 Property: Blunt object with high mechanical force 3. Contusions amp。 open fractures Management ? Debridement ? Wound Closure Soft tissue 2022/8/15 38 3. Contusions amp。 Puncture Wound Charater ? Regular wound edge ? Bleeding ? Small access, but deep wound Management ? Debridement ? Wound closure Soft tissue 2022/8/15 40 Property: Animal (Wolf, dog, Bear) or human beings Character ? Tooth traced ? Heavy contamination ? Tend to infection Management ? Thorough debridement ? Infection control ? Skin graft after granular tissue regenerated ? Vaccination of Tetanus, Rabies 5. Bite Wound 2022/8/15 41 Definition Debridement Main Entry: dement Pronunciation: di39。nt, dA, m228。m228。bridement, from d233。 Toothache when chewing Management ? Tooth rest ? Tooth ground ? Simple ligation 2022/8/15 49 1. Tooth injuries Luxation of Teeth Classification Character ? Tooth dislocated or exfoliated Management ? Tooth protection priority ? Reduction ? Fixation ? Reimplantation Partial luxation Complete luxation Tooth dislocation Semi luxation Intrusive movement 2022/8/15 50 Gingival or labial swelling, laceration Adjacent teeth or alveolar process movement when one affected tooth touched Fragment dislocation, Malocclusion In accordance with tooth luxation or fracture 2. Fracture of Alveolar Process Characters 2022/8/15 51 ? Extrinsic force to dental alveolar process, mainly to upper jaw ? Reduction under LA ? Arch bar applied 2. Fracture of Alveolar Process Etiology Management 2022/8/15 52 2. Fracture of Alveolar Process 2022/8/15 53 Stainless steel wire ligation, Arch bars 2022/8/15 54 Questions 1. Describe the characteristics of OMF Trauma? 2. Describe the etiology, clinical features and management of asphyxia. 3. Describe the ways of hemastasis. 4. What is debridement? 5. Describe the mon site of dental alveolar process fracture, and their clinical manifestation. 2022/8/15 55 Reference 1. LJ Peterson, et al : Contemporary Oral