Dental Profiling and Findings of Multiple Jaw Fractures in Traffic Accident Victim: A Case Report

Authors

  • Aditia D. Yunus Universitas Indonesia
  • Ferry P. Gultom Universitas Indonesia
  • Ria Puspitawati Universitas Indonesia
  • Fitri A. Sari Universitas Indonesia
  • Eko Prastyo Universitas Indonesia
  • Ferdy Rijaldi Universitas Indonesia
  • Suripto Suripto Universitas Indonesia

DOI:

https://doi.org/10.35790/eg.v12i2.53455

Abstract

Abstract: Motorcycle riders have a high prevalence of accident risks. These accidents can result in severe injuries and can even lead to death. The death prevalence among motorcyclists is three times higher than that of car passengers, six times higher than that of pedestrians, and almost 50 times higher than that of bus occupants. Traffic accidents can cause blunt trauma. High-speed crashes are common in polytraumatized motorcycle crashes and often display facial injuries. In this case report, the authors present a case of an accident with findings of facial trauma to the forehead, nose, cheeks, and multiple fractures of the maxilla and mandible due to a hard object impact. Dental examination revealed post-mortem tooth loss, fractures of the teeth, attrition, root remains, and visible impaction. In conclusion, craniofacial blunt trauma presents with many clinical features. The authors recommend that the finding of such cases be performed further examinations such as X-rays to gain an idea of the possible location of the fracture and to do an autopsy.

Keywords: motorcycle accident; blunt trauma; maxillary fracture; mandibular fracture

Author Biographies

Aditia D. Yunus, Universitas Indonesia

Master’s Program in Dental Sciences, Forensic Dentistry Speciality, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

Ferry P. Gultom, Universitas Indonesia

Forensic Odontology Specialist Program, Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

Ria Puspitawati, Universitas Indonesia

Forensic Odontology Specialist Program, Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

Fitri A. Sari, Universitas Indonesia

Department of Forensic Medicine & Medicolegal Studies, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

Eko Prastyo, Universitas Indonesia

Forensic Odontology Specialist Program, Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

Ferdy Rijaldi, Universitas Indonesia

Forensic Odontology Specialist Program, Department of Oral Biology, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

Suripto Suripto, Universitas Indonesia

Department of Forensic Medicine & Medicolegal Studies, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia

References

Kusnandar VB. Kecelakaan lalu lintas meningkat, capai 94 ribu kasus sampai September 2022. Katadata Media Network. 2022. Available from: https:// databoks.katadata.co.id/datapublish/2022/11/22/ kecelakaan-lalu-lintas-meningkat-capai-94-ribu-kasus-sampai-september-2022

Ramli R, Oxley J, Noor FM, Abdullah NK, Mahmood MS, Tajuddin AK, et al. Fatal injuries among motorcyclists in Klang Valley, Malaysia. J Forensic Leg Med. 2014;26:39–45. Available from: https://doi.org/10.1016/j.jflm.2014.06.007

Parinduri AG. Asmadi E, editor. Buku Ajar Kedokteran Forensik dan Medikolegal [Internet]. Medan: UMSU Press; 2020. Available from: http://umsupress.umsu.ac.id

Shkrum MJ, Ramsay DA. Forensic Pathology of Trauma. Common Problems for the Pathologist. Totowa, New Jersey: Humana Press; 2007. p. 405.

Ainy E, Khorshidi A, Monfared AB, Soori H, Haddadi M. Epidemiological pattern of road traffic injuries among occupants’ vehicles in 2012. J Transp Technol. 2016;06(05):277–85. Available from: http://dx.doi.org/10.4236/jtts.2016.65025

Hadi S, Hoseinian S, Ebrahimzadeh MH, Peivandi MT, Bagheri F, Hasani J, et al. Injury patterns among motorcyclist trauma patients: a cross sectional study on 4200 patients [Internet]. Arch Bone Jt Surg. 2019;7(4):367-72. Available from: http://abjs.mums.ac.irtheonlineversionofthisarticleabjs.mums.ac.ir

Nyameino S, Butt F, Guthua SW, Macigo F, Akama M. Occurrence and pattern of maxillofacial injuries caused by motorcycle crashes presenting at two major referral hospitals in Nairobi, Kenya. Craniomaxillofacial Trauma & Reconstruction Open. 2018;2(1):e9-e14. Doi:10.1055/s-0038-1660434

Granieri SS, Reitano EE, Bindi FF, Renzi FF, Sammartano FF, Cimbanassi SS, et al. Motorcycle-related trauma: effects of age and site of injuries on mortality. A single-center, retrospective study. World Journal of Emergency Surgery. 2020;15(1):18. Available from: https://doi.org/10.1186/s13017-020-00297-1

Petit L, Zaki T, Hsiang W, Leslie MP, Wiznia DH. A review of common motorcycle collision mechanisms of injury. EFORT Open Rev. 2020;5(9):544–8. Doi: 10.1302/2058-5241.5.190090.

Rothweiler R, Bayer J, Zwingmann J, Suedkamp NP, Kalbhenn J, Schmelzeisen R, et al. Outcome and complications after treatment of facial fractures at different times in polytrauma patients. Journal of Cranio-Maxillofacial Surgery. 2018;46(2):283–7. Doi: 10.1016/j.jcms.2017.11.027

Pietzka S, Kämmerer PW, Pietzka S, Schramm A, Lampl L, Lefering R, et al. Maxillofacial injuries in severely injured patients after road traffic accidents—a retrospective evaluation of the TraumaRegister DGU® 1993–2014. Clin Oral Investig. 2020;24(1):503–13. Doi: 10.1007/s00784-019-03024-6

Hoppe IC, Halsey JN, Ciminello FS, Lee ES, Granick MS. A single-center review of palatal fractures: etiology, patterns, concomitant injuries, and management. Eplasty. 2017:17:e20.

Goots A, Isa MI, Fenton TW, Wei F. Blunt force trauma in the human mandible: An experimental investigation. Forensic Sci Int: Reports. 2022;5:100252.

DiMaio VJM, Molina KD. DiMaio’s Forensic Pathology (3rd ed). Boca Raton: CRC press; 2021. Available from: https://doi.org/10.4324/9780429318764

Dettmeyer RB, Verhoff MA, Schütz HF. Forensic Medicine. Berlin, Heidelberg: Springer: 2014.

Pelletti G, Cecchetto G, Viero A, De Matteis M, Viel G, Montisci M. Traumatic fatal aortic rupture in motorcycle drivers. Forensic Sci Int. 2017;281:121–6. Available from: https://doi.org/10.1016/ j.forsciint.2017.10.038

de la Cruz RAR, Tuazon RS. Motorcycle related cranio maxillofacial injuries at a tertiary hospital in the Philippines. Philippine Journal of Otolaryngology - Head And Neck Surgery. 2016;31(2):27–30. Doi:10.32412/pjohns.v31i2.231

Manigandan T, Sumathy C, Elumalai M, Sathasivasubramanian S, Kannan A. Forensic radiology in dentistry. J Pharm Bioallied Sci. 2015;7(Suppl 1):S260-4. Doi: 10.4103/0975-7406.155944.

Downloads

Published

2024-01-30

How to Cite

Yunus, A. D., Gultom, F. P., Puspitawati, R., Sari, F. A., Prastyo, E., Rijaldi, F., & Suripto, S. (2024). Dental Profiling and Findings of Multiple Jaw Fractures in Traffic Accident Victim: A Case Report. E-GiGi, 12(2), 246–252. https://doi.org/10.35790/eg.v12i2.53455

Issue

Section

Articles