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Stomatologija 2026; 28 (2): 53-8 142 KB

The management dilemma of alveolar bone fracture: Case report and narrative review

Oumayma El Yacoubi^*, Akram Belmehdi^*, Bassima Chami^*

Summary

Introduction. Alveolar process fracture is a common injury in dental practice that has a signifi cant impact on patient's aesthetics and functionality, necessitating prompt and appropriate management.

The purpose of this article is to present a clinical case of a comminuted alveolar fracture managed through open reduction and fi xation using a wire composite splint. Additionally, it will provide a narrative review of the different treatment options for alveolar bone fractures, discussing the controversies and challenges in their management. This comparative analysis of therapeutic approaches aims to identify best practices to optimize clinical outcomes for patients with this injury.

Case report. The clinical case involves a 25-year-old patient with a dentoalveolar fracture extending from the 33 to 44, caused by a workplace accident and treated with open reduction and wire splint placement.

Discussion.The initial management of bone fracture based on reduction and fi xation of the fractured segment plays a critical role in determining the ultimate outcome. Various techniques have been documented in current literature, and selecting the right technique is determined by a clinical assessment and a comprehensive evaluation of the unique aspects of each clinical case.

Conclusion. It is essential for healthcare professionals to closely monitor the evolution of clinical guidelines and research studies in this fi eld in order to provide patients with adapted treatment.

Key words: alveolar fracture, dentoalveolar trauma, splinting, management.

Received: 13 01 2025

Accepted for publishing: 22 06 2026

^*Mohammed V University, Rabat, Marocco

Address correspondence to Oumayma El Yacoubi, Mohammed V University in Rabat, Oulad Helal, residence Nassim 2, building 1, apartment 9, Sala Al Jadida, Rabat, Morocco.

E-mail address: oumayma_elyacoubi@um5.ac.ma



	Baltic Dental and Maxillofacial Journal

2026, Vol. 28, No. 2 CONTENTS REVIEWS Lag screw vs miniplate fixation in treatment of condylar neck fractures: A systematic review Augustinas Buškus, Jan Pavel Rokicki, Simas Steponaitis 35-39 SCIENTIFIC ARTICLES Multinucleated giant cells: Do they have an impact on prognosis and overall survival in oral squamous cell carcinoma? Kuldeep Singh, Priya Kumar, Aadithya B. Urs 40-46 REVIEWS Relation of gubernacular canal and permanent dentition by Nolla stage: Cone-beam computed tomography analysis Ana Luisa Marques Bemquerer, Larissa Marques Bemquerer, Lucas Guimarães Abreu, Cláudia Borges Brasileiro 47-52 CASE REPORTS The management dilemma of alveolar bone fracture: Case report and narrative review Oumayma El Yacoubi, Akram Belmehdi, Bassima Chami 53-58 Focal reactive gingival overgrowth: Diagnosis, histopathological evaluation and management Meenu Taneja Bhasin, Karuna Joshi, Gunjan Gupta, C. S. Baiju, Shefali Malik, Sunny Mavi 59-64 © 2026 Stomatologija		Stomatologija 2026; 28 (2): 53-8 142 KB The management dilemma of alveolar bone fracture: Case report and narrative review Oumayma El Yacoubi^, Akram Belmehdi^, Bassima Chami^* Summary Introduction. Alveolar process fracture is a common injury in dental practice that has a signifi cant impact on patient's aesthetics and functionality, necessitating prompt and appropriate management. The purpose of this article is to present a clinical case of a comminuted alveolar fracture managed through open reduction and fi xation using a wire composite splint. Additionally, it will provide a narrative review of the different treatment options for alveolar bone fractures, discussing the controversies and challenges in their management. This comparative analysis of therapeutic approaches aims to identify best practices to optimize clinical outcomes for patients with this injury. Case report. The clinical case involves a 25-year-old patient with a dentoalveolar fracture extending from the 33 to 44, caused by a workplace accident and treated with open reduction and wire splint placement. Discussion.The initial management of bone fracture based on reduction and fi xation of the fractured segment plays a critical role in determining the ultimate outcome. Various techniques have been documented in current literature, and selecting the right technique is determined by a clinical assessment and a comprehensive evaluation of the unique aspects of each clinical case. Conclusion. It is essential for healthcare professionals to closely monitor the evolution of clinical guidelines and research studies in this fi eld in order to provide patients with adapted treatment. Key words: alveolar fracture, dentoalveolar trauma, splinting, management. Received: 13 01 2025 Accepted for publishing: 22 06 2026 ^*Mohammed V University, Rabat, Marocco Address correspondence to Oumayma El Yacoubi, Mohammed V University in Rabat, Oulad Helal, residence Nassim 2, building 1, apartment 9, Sala Al Jadida, Rabat, Morocco. E-mail address: oumayma_elyacoubi@um5.ac.ma