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Dentoalveolar fractures are damage or rupture of the hard tissue continuity in the dental structure and alveoli caused by trauma. Injuries can be occurred only in the teeth and their supporting structures as in older adults with trauma from falls, or associated with multisystem injuries. Management of emergency cases of dentoalveolar fractures in elderly patients with systemic diseases requires prompt and precise action and requires the patient’s cooperative effort. The purpose of this case report was to describe and discuss the prompt and precise management of emergency case and wound closure of dentoalveolar fractures in elderly patients with systemic disease. Case report: A 72-years-old woman presented with the chief complaint of mouth-bleeding. The patient’s trauma history was walking inside her house, suddenly slipping and falling with the mechanism of her mouth hitting the floor first — history of systemic diseases were heart disease, hypertension, and diabetes mellitus since 10 years before. The patient was under the treatment of AspiletsTM, metformin, allopurinol, spironolactone, and rosuvastatin calcium. Clinical examination result was a dentoalveolar fracture. The patient was being consulted first by an internist due to her systemic disease and was administered with anticoagulant medication. Treatments performed afterwards were tooth extraction, wound irrigation, and wound suturing using a pure lidocaine local anaesthesia. Medications administered were 500 mg of amoxicillin tablets, 150 mg of ranitidine tablets, 400 mg of ibuprofen tablets, and an anti-tetanus serum injection. Conclusion: The prompt and precise management of emergency cases of dentoalveolar fractures in elderly patients with systemic diseases was performed with a consulting to an internist to minimise the emerging risks. Treatment of dentoalveolar fractures was consisted of tooth extraction, wound irrigation, and suturing using a local anaesthetics and administration of antibiotics, analgesics, and anti-tetanus serum injection, along with psychological approaches was proven to be able to heal the patient’s condition in 7 days.

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&lt;p&gt;Penatalaksanaan kasus kegawatdaruratan fraktur dentoalveolar pada pasien usia lanjut dengan penyakit sistemik&lt;/p&gt;&lt;p&gt;Management of emergency case of dentoalveolar fractures in elderly patients with systemic disease&lt;/p&gt;