Late treatment of mandible fracture after third molar removal (original) (raw)
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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.
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 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...
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 Angle Fracture after Third Molar Extraction: A Case Report and Review of the Literature
2020
The extraction of third molar teeth is one of the most common procedures in the specialty of oral and maxillofacial surgery. On some occasions, the extraction results in complications, including less serious ones, such as infection, alveolar osteitis, bleeding and hemorrhage, and paresthesia. In some cases, fracture of the mandible can be observed and is classified as a severe form of these complications. The following case present a fracture of the angle of the mandible as a complication of the extraction of the lower wisdom tooth.
Journal of oral & maxillofacial research
The present study reports a case of late mandibular fracture due to third molar extraction and highlights the inherent clinical, ethical and legal aspects related to this surgical complication. A female patient underwent surgical procedure for the extraction of the mandibular right third molar. Two days after the surgery the patient reported pain and altered occlusion in the right side of the mandible. After clinical and radiographic re-examination, the diagnosis of late mandibular fracture was established. A second surgery, under general anaesthesia, was performed for the fixation of the mandibular bone. The fractured parts were reduced and fixed with locking plate systems and 2 mm screws following load-sharing principles. The masticatory function showed optimal performance within 7 and 21 days after the surgery. Complete bone healing was observed within 1 year of follow-up. For satisfactory surgical outcomes, adequate surgical planning and techniques must be performed. Signed info...
Relationship between mandibular fracture and impacted lower third molar
Medicina oral, patología oral y cirugía bucal, 2009
Many studies have shown that the greatest risk of fracture of the mandibular angle is related to the presence of an unerupted lower third molar, based on the hypothesis that there is a decrease in the area of bone and absorption of the impact in this area, leading some surgeons to indicate its prophylactic removal in patients most exposed to the risk factors of facial trauma. On the other hand, other authors have observed a greater frequency of condylar fractures in patients without an impacted lower third molar. The aim of this study was to relate the condylar and angle fracture with an unerupted lower third molar, taking into account the position of the tooth. Panoramic radiographs were used to determine if the presence or absence of the third molar is related to the occurrence of mandibular fractures, such as angle and condylar fractures. In a total of 43 patients with angle fractures, the greatest percentage had erupted teeth, and 41.9% had impacted teeth; however there was no s...
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...
Frequency of Mandibular 3rd Molar Presence and Position on Risk of Mandibular Angle Fracture
Journal of Medicine, Physiology and Biophysics
Objective of study was to determine the frequency of mandibular third molar presence and position in mandibular angle fractures. Study Design: Cross Sectional Study Setting: This study was carried out in department of dentistry, Nishtar institute of dentistry, Multan. Duration of Study: This study was conducted from 1 st July 2016 to 31 st January 2017. Methadology: Study was started after taking informed consent from the patients and approval of ethical committee. Fracture side was diagnosed by history and examination. Status of mandibular third molar (erupted, un-erupted and impacted) on the side of fracture was evaluated through clinical and radio-graphical examination. Data was collected for basic demographics (Age, Sex and side of fracture).Patients from both gender with age range of 25-40 years having mandibular angle fracture of any side of < one month duration were included in this study. Patients with history of extraction of mandibular third molar and those with history of fracture from gunshot injury were excluded from the study.Data was collected for mandibular third molar presence and position and noted in especially designed proforma. Results: A total of 158 patients of both gender with mandibular angle fracture of any side were included. Age range in this study was from 25 to 40 years with mean age of 32.689 ± 3.28 years, mean height 1.612 ± 0.04 meters, mean BMI 23.929 ± 2.08 Kg/m 2 and mean duration of fracture was 11.354 ± 6.08 days. Majority of the patients (55.7%) belongs to 25-33 years age groups. While males were 90.5% as compare to females 9.5%. UnErupted Mandibular third molar was seen in 12.7% patients, Erupted 44.3% and Impacted was 43%. Conclusion: Conclusion of this study is that the absence of an impacted third molar decrease the prevalence of mandibular angle fractures.