Examination and neurologic assessment of children with orofacial trauma

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Abstract
Oro‐facial fractures, displacement of teeth and various other traumatic dental injuries may possibly be associated with damage to various aspects of the cranial nervous system. When evidence of these injuries is presented, it is the dentist's responsibility to make a thorough assessment. This paper presents a brief, yet adequate neurologic evaluation of the child patient with oro‐facial trauma which can be accomplished in five minutes. It includes a review of history, mental status, evaluation of gait, use of extremities, eye and facial movements, gag and facial sensations. When positive findings arc noted it is recommended that the patient be referred to a neurologist or an oral‐maxillofacial surgeon for further evaluation and treatment.

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