Mandibular Angle Fracture after Third Molar Extraction: A Case Report and Review of the Literature (original) (raw)
Related papers
Oral and Maxillofacial Surgery, 2010
Background Angle fractures are quite common considering that the angle of the mandible forms an area of lower resistance which contains a thicker upper border, a thin basilar bone, and the presence of an impacted mandibular third molar. Common complications of mandibular third molar surgery include alveolar osteitis (dry socket), secondary infection, nerve dysfunction, and hemorrhage. Reports of mandibular fracture during and after third molar removal are uncommon. Purpose The purpose of this paper is to discuss the risk and predisposing factors that should be analyzed regarding the possibility of immediate and late mandibular angle fractures and their need for surgical treatment as a means through which to remove impacted molars. This study is based on a thorough review of the literature as well as on one immediate and one late mandibular angle fracture as described by the authors' own personal experience.
Mandibular fracture during mandibular third molar extraction
The Internet Journal of …, 2009
Pre-operative planning for the extraction of mandibular third molars is of fundamental importance, particularly in patients over the age of 40 years, in whom osteotomies and odontotomies procedures must be included to prevent mandibular fractures Conservative treatment of the mandibular fracture has advantages and disadvantages, and can present excellent results when well indicated and performed. The main aim of this article is to relate a case of fracture of the mandibular angle in a 40-year old patient, as a result of third molar extraction on the right side. The patient had two fracture lines favourable to reduction, reported feeling a difference in dental occlusion and was treated with intermaxillary fixation with an Erich bar for 45 days. The follow-up shows complete bone consolidation of the fracture traces after four years.
Late mandibular fracture after attempted third molar surgery: case report
ARCHIVES OF HEALTH INVESTIGATION, 2020
Removal of lower third molar corresponds to one of the most common procedures in oral surgery. The extraction can result in several intraoperative or postoperative complications, especially when fully impacted molars are involved. This case report describes a mandibular angle fracture following removal of a fully impacted lower third molar of a 41 years old male patient. The fracture occurred 3 days after the attempt to extract the tooth 38 by a dentist surgeon. Several factors influencing the possibility of fracture including gender, age, dental position, and angulation were reviewed and associated with the injury. A fracture line in the angular region of the jaw was observed in radiological and tomographic analysis, both essential to perform the diagnosis. Open reduction internal fixation treatment approach was realized to ensure the best patient’s recovery. We conclude that the difficult to maintain a soft diet and the complete dentition factor could have been determinant to caus...
Mandibular fracture after third molar removal
Journal of Oral and Maxillofacial Surgery, 2000
Purpose: Mandibular fracture after impacted lower third molar removal is a rare, but major, complication. The factors leading to a mandibular fracture secondary to third molar removal are analyzed retrospectively. Patients and Methods: Six patients who suffered from a mandibular fracture as a complication after third molar removal were examined clinically and radiographically. Results: All fractures occurred an average of 14 days postoperatively. The patients were 42 to 50 years old and were all fully dentulous. All grades of tooth impaction were included. Conclusions: The major risk factor for this complication seems to be advanced age in combination with a full dentition. The degree of tooth impaction is less important. Preexisting bone lesions weaken the mandible and further predispose to a fracture.
Late treatment of mandible fracture after third molar removal
Research, Society and Development, 2022
Surgical management of impacted third molars is a treatment performed by dentists and its indicated for various conditions, among the indications has the prevention of mandibular fracture, but this is a factor that has been discussed and is controversial. Fractures caused by a third molar can occur, and on the other hand, the fractures after or during the management of impacted third molar are a possible complication. Surgical planning as the indication to the surgery has to be performed to avoid complications as the fracture. Thus this study aims to report a case about a mandible fracture after third molar extraction, presenting edema, pain, and restriction in mandible mobility in 01-day follow-up. A 27-year-old female was referred to the oral and maxillofacial surgery service of the Santa Casa Hospital of Araçatuba (Araçatuba, Brazil), reporting dental history of third molar removal, with immediately chief complaints. In the assessment, the patient presented edema, pain, malocclus...
A Study on the Impact of Mandibular Third Molars on Angle Fractures
Purpose: This study evaluated the relationship between the status and position of mandibular third molars and angle fractures. Materials and Methods: In a total of 2,033 patients with a mandibular fracture, 532 (26%) had angle fractures, and 1,466 (72%) had retained their lower third molars. The most frequent cause for mandibular fracture was road traffic accident (64%), followed by assault (19%). Results: Of 341 patients with an unerupted third molar, mandibular angle fracture was evident in 249 patients (73%). Only 62 patients (9.4%) with a completely erupted third molar had angle fractures, whereas 83 patients (17.6%) with partially erupted third molars had angle fractures. Conclusions: Our study confirmed an increased risk of angle fractures in the presence of a lower third molar, as well as a variable risk for angle fracture, depending on the third molar's position.
Relationship between Fractures of Mandibular Angle and the Presence of a Lower Third Molar
Objectives: In this retrospective study, we measured the relationship between the presences of a lower third molar and mandibular angle fractures. Patients &Methods: The records and radiographs of 50 patients with mandibular angle fracture were examined. The presence of a lower third molar were assessed for each patient and related to the occurrence of mandibular angle fracture. Results: Patients with presence of a lower third molar exhibited three times greater chance of a mandibular angle fracture than patients with absent lower third molar. There was a major variation in the risk for a mandibular angle fracture depending on presence of a lower third molar. Conclusion: The presence of third molar teeth provides an area of potential weakness of the mandible and predisposes the angle region to fracture & difficulty to achieve good reduction and exposes the fracture for many complications like postoperative infections and delayed healing. Fights accounted for the largest number of fr...
Complication rates in angle fractures with or without retaining third molars: A comparative study
IP innovative publication pvt ltd, 2020
Aim: The aim of this study is to assess whether the third molar in the line of mandibular angle fracture predisposes to post-operative infection, which further may lead to implant retrieval. Materials and Methods: Surgically rehabilitated cases of mandibular angle fracture at our center Sanjay Gandhi institute of trauma and orthopedics from 2016 to 2019 were considered in the study. During this period 49 cases were followed up for over a period of 6 months at 3 moths and 6months interval. All the cases were operated by the same surgeon using universal aseptic precautions using semi- rigid fixation. Results: Out of 49 cases, 20 cases the third molar was removed and in 29 cases the third molar was retained. The mean age group of the population of the study was 33.67 (18 to 60 years), out of which majority of the cases 93.9%(46) were male patients and 6.3%(3) were female patients. The main etiology of the cases were attributed to RTA. 96.3%. At the end of the 6 months follow up it was noted that 4 plates in case of retained group and 2 plates in removed group. In the 3 month follow up in 4 cases of the retained third molar was extracted due to signs of infection. When the tooth in question was removed, infection did not occur. At the 3rd to 6 month follow another 4 retained third molars were extracted along with implant retrieval. Statistically the relationship between the two groups were analyzed using Chi-square test bivariate statistics. A P ≤ 0.05 was taken as significant. Conclusion: In our study we could not provide any concrete evidence to form a protocol for the management for the third molar in the line of mandibular angle. Retaining the third molar in the line of fracture has an increased chance of post-operative infection. We would like to conclude that partially impacted tooth are best to be removed during the procedure for better outcomes provided the fractured segments stability is maintained. Until an algorithm is set for the management of the third molar in the line of fracture, the dilemma of retaining or removing still stays and varies from case to case and on the surgeon’s experience.
Journal of Maxillofacial and Oral Surgery, 2014
Introduction This study was designed to evaluate the influence of eruption status of mandibular third molars on the location of mandibular angle fracture. We also aimed to evaluate the incidence of damage to mandibular third molar teeth (M3) and its roots. Materials and Methods Medical records and panoramic radiographs of 142 patient cohorts with mandibular angle fractures with third molars present were retrospectively reviewed. Results Revealed that incidence of angle fracture were high in patients with fully erupted M3 when compared to unerupted group. Out of 142 patients, 108 fractures were found involving the M3 socket and 14.1 % had damage to M3. Conclusion The presence of erupted mandibular third molar increases the chances of angle fracture when compared to impacted M3. Involvement of the M3 socket often resulted in increased operative time and complexity of the surgical procedure with possible removal of the damaged M3.