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Oral Lacerations, Sports Medicine

Brent H. Messick, MD, MS, FAAFP, CAQSM and Kevin E. Burroughs, MD, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Soft tissue injury in the orofacial area

  • Typically results from a direct blow to the mouth resulting from a fall or impact by an opponent or object

  • Lacerations may be an indirect resul...

DIAGNOSIS

HISTORY

  • Determine where and how the injury was sustained; common in sports but also seen as result of fighting, assault, and abuse

  • Determine areas of numbness or loss of muscle control to eval...

TREATMENT

GENERAL MEASURES

  • Most oral lacerations can be left to heal by secondary intention. Only those that are >1 cm, gapping at rest, or require hemostasis may need to be repaired 4.

  • Copious irrig...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Laceration associated with fracture or involving nerves or salivary ducts should be referred for definitive care as soon as possible.

  • Refer dental trauma to a dent...

REFERENCES

1
Inouye J, McGrew C. Dental problems in athletes. Curr Sports Med Rep.  2015;14(1):27–33.
2
Labella CR, Smith BW, Sigurdsson A. Effect of mouthguards on dental injuries and concussions i...

ADDITIONAL READING

  • American Dental Association Council on Access, Prevention and Interprofessional Relations, Council on Scientific Affairs. Using mouthguards to reduce the incidence and severity of s...

CLINICAL PEARLS

  • Stitches placed inside the mouth will dissolve on their own. Sutures in the skin should be removed in 4 to 5 days to prevent significant scarring.

  • Return to play depends on the severity...

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