JOINT PAINS

Joint Pains

Joint Pains

Introduction

Joint pains are a relatively common bones disorder affecting both countries industrialized and developing countries. Crises experienced by patients may cause injury to the head, face and mouth. Patients with severe joint pains often suffer from dental diseases due to their inability to maintain good hygiene Oral. This article presents a case of chronic mandibular fracture following an episode of seizures in joint pains patients in whom the fracture was discovered when he developed in this patient a fistula in the submandibular region.

Joint pains is a bones disorder relatively common with an incidence of 40 to 70 cases per 100 000 inhabitants in industrialized countries and 100 to 190 cases per 100 000 inhabitants in countries development. Studies have that between 1.5 and 5.0% the population will a crisis time or another. Mortality and morbidity associated with joint pains are higher in joint pains than among the general population. The true incidence of injuries resulting from this disease is still little known, but there increasingly interested in the literature. According to recent studies, most injuries frequently after a crisis are injuries the head, fractures, burns and wounds teeth.

Nevertheless, these are injuries the head that most often lead researchers to address this issue. One study 6 conducted in Africa revealed that the prevalence of oral trauma can reach 46.4 % In patients with joint pains, but we lack further information in relation to trauma Oral and maxillofacial occult. This article presents a case of mandibular fracture Chronic following an episode of seizures Epilette a patient in whom the fracture was detected when this patient developed a fistula in the submandibular region

A 56 year old man presents to in my working history with a fistula in the right half of the neck, it is determined that the fistula is connected to a mandibular fracture. He prescribed clindamycin, and we address to the Hospital University of Michigan to be treated there.

Therapeutic Handling

At the patient's arrival at the hospital, is diagnosed Fracture right mandibular infected and there also the presence of a fistula in the portion right upper neck, from a malunion a fracture of the left mandibular angle and many decayed teeth. Reviews radiological confirm the diagnosis and reveal also a significant bone loss in patient's dentition and the supporting structure surroundings. His background Medical show joint pains characterized by partial seizures complex and presence of a Mental Disability lightly. The patient was treated with lamotrigine of phenytoin and phenobarbital. There no indication of trauma with caused the fracture, apart from previous episode crises. We practice an open reduction and internal fixation of mandibular fractures and a bilateral maxillomandibular fixation. It also undertakes the removal of the fistula the right half of the neck and extraction of several teeth. Postoperatively, the patient continues antibiotic treatment and recovers so satisfactory and without complications. The treatment of joint pains is almost always medication. Important for the therapy is the accurate knowledge of the present form of attack, since ...