11/29/2023 0 Comments Le fort fracture case report![]() A supernumerary tooth in the line of the fracture in the maxillary dentate area is very uncommon. Teeth in the line of the fracture are usually seen associated with mandibular fractures involving the dentate segment. There are studies depicting the correlation between the oral lesions in combination with facial fractures 5. It also has a positive family history as predisposing factors 4. Mesiodens may present in normal individuals or as a part of some syndromes. Mesiodens may occur either unilateral or bilateral, single or multiple which is known as ‘mesiodentes’ 3. Mesiodens is the most common type of supernumerary tooth 2. It is more common in the central region of the upper or lower jaw however, its occurrence in the mandible is rare. The supernumerary teeth are extra teeth in comparison to normal dentition. However, fracture in association with a supernumerary tooth like a mesiodens is a rare entity. Le Fort II fractures are pyramidal fracture, which passes through the inferior orbital rim and nasal bones, lateral walls of maxillary sinuses and along the posterior alveolar ridge and pterygoid plates, with the teeth at the pyramidal base, and nasofrontal suture at its apex 1. The entire maxilla will move downward in relation to the skull base as a Le Fort II fragment, if the zygomaticomaxillary suture and the frontomaxillary suture are fractured. This is supported by the posterior fracture of the vertical maxillary buttress at the junction of the posterior maxillary sinus with the pterygoid plates of the sphenoid. Fractures of the midfacial region involving separation of the maxilla from the skull base are commonly described according to the classification described by Rene Le Fort in 1901. ![]()
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