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Possibilities of maxillofacial injury’s parameters objectification

According to the results of different researches, the prevalence of maxillofacial area injuries during road traffic accidents ranges from 17% to 94%. Most of the victims with maxillofacial region alterations after such accidents have combined injuries (61%), and less than half have isolated injuries. In order to provide adequate rehabilitation of such patients with a tooth-jaw apparatus injuries, should be conducted comprehensive medical treatment that in 77% of cases includes surgical iatrogenic intervention. However, during the analysis of existing methodologies to assess the damages of maxillofacial area, it was found that the most of these approaches didn’t capture functional disorders of the teeth-jaw system after road traffic accidents, respectively the registration of injuries in such cases is based only on anatomical criteria, which does not always provide the appropriate level of objectivity during the evaluation of the accidents post effects. The most promising algorithm for assessing the severity of maxillofacial injuries with regard to anatomic and functional changes included in the MFISS system, that is also limited to the lack of a unified approach for the diagnostics of different types of tooth-jaw apparatus injuries, especially to the mechanism of formation of maxillofacial fractures during traffic accident, adherence to the AIS- 90 criteria as a basic estimation parameter and due to the verification errors of dental status lesions at the stage of initial diagnostics of the victims. That is why the research and development of the optimal method for assessing tooth-jaw apparatus injuries that can be used during forensic medical and forensic dental examinations is an open scientific and practical aspect of modern dentistry and forensic medicine