Diagnostic and Management Challenges and Medico-legal Impacts of Multiple Dento-Alveolar Injuries: A Case Report

Abstract

Dento-Alveolar Injuries (DAI) usually present with multiple trauma to many teeth and alveolar bones. Treatment protocols vary according to the type of injury. The prognosis is determined by the type of injury and adherence to the recommended treatment protocol. A pedestrian who has been knocked down by a motorcycle presented with an alveolar bone fracture where the plain radiographs implied to have root fractures. Meticulous clinical assessment together with confirmative investigation using Cone Beam Computerized Tomogram (CBCT) revealed the absence of root fractures. This enabled the implementation of a proper treatment protocol and a better prognosis for the affected teeth. It had a significant impact from a Medico-legal point of view as it determined the absence of root fractures and the presence of only alveolar bone fractures. Therefore, reduced the number of grievous injuries. Thus, it can affect the amount of punishment given to the motorcycle rider and the compensation given to the victim by the court.