Mandibular Alveolar Fractures Workup

Updated: Sep 26, 2018
  • Author: William D Clark, MD, DDS; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Laboratory Studies

No lab studies are required to evaluate a fracture of the alveolar process of the mandible. Associated injuries are common and may require such studies.

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Imaging Studies

See the list below:

  • CT has become the criterion standard for evaluating the mandible for fractures. In patients with multiple traumas, many emergency departments obtain near whole-body CT scans so that the needed information is available.

  • The panoramic dental radiograph was long the criterion standard for evaluating the mandible and is still an excellent alternative to and/or adjunct to CT. It does offer the advantage of better evaluating the teeth for injuries.

  • When the needed equipment is not available or the patient cannot be placed in the apparatus, plain radiographs of the mandible may be sufficient.

  • Periapical dental radiographs are often helpful in providing precise information about the status of teeth within a fractured segment of the alveolar process. Dental consultation is usually required to obtain these radiographs.

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