Displacement of the third molar bud to the sublingual space during open reduction and internal fixation of mandibular angle fracture: A case report

The treatment of mandibular angle fractures involves several postsurgical complications and is in greater demand when compared to therapeutic approaches for other types of mandibular fractures. Such postsurgical complications as bleeding, swelling, infection, dehiscence, pseudoarthrosis and paresthesia might affect individuals in both sexes and at all age groups. The presence of a mandibular third molar, a cross-sectional area thinner than the tooth-bearing region, and biomechanical forces might hamper the surgery, making it longer and more complex. Internal fixation is aimed at undisturbed healing under condition of functional and without any period of intermaxillary fixation. Adequate fixation depends on different fracture types, patients' general health and compliance, and the timing of the operation. This case report involves a mandibular angle fracture successfully treated with the lag screw technique, a simple approach to treat one of the most common fractures involving the mandible, quickly restoring the patient ́s oral functions.

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The Use of a Novel CAD-CAM Splint to Simplify Open Reduction and Internal Fixation of Mandibular Angle Fracture: A Technical Note

Craniomaxillofacial Trauma & Reconstruction ◽

10.1177/1943387520904897 ◽

2020 ◽

pp. 194338752090489

Author(s):

Mrunalini Ramanathan ◽

Elavenil Panneerselvam ◽

Sriraam Kasi Ganesh ◽

Krishna Kumar Raja

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Technical Note ◽

Mandibular Angle ◽

Intermaxillary Fixation ◽

Mandibular Angle Fracture ◽

Angle Fracture ◽

Computer Aided ◽

Digital Manipulation ◽

Angle Fractures

Mandibular angle fractures are frequently encountered as they constitute an area of weakness. Complications after open reduction and internal fixation (ORIF) of angle fractures commonly arise due to improper reduction and fixation methods that fail to counteract the dynamic muscle forces present in this region. Conventional reduction methods such as digital manipulation, intermaxillary fixation, towel clip traction, and wiring are associated with various limitations. This technical note highlights the fabrication and use of a computer-aided designing/computer-aided manufacturing–generated splint for ORIF of a superiorly displaced mandibular angle fracture. The splint consisted of 2 components: (1) a distal tooth-borne component to guide the teeth into maximum intercuspation and (2) a proximal bone-borne component to reduce the angle fracture. This composite splint facilitates simultaneous restoration of occlusion as well as reduction of mandibular angle fractures. The advantages of this technique include the following: (1) easy fabrication of splint, (2) easy and precise anatomical reduction of angle fracture, and (3) less operative time.

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Transoperative mandibular angle fracture from third molar extraction, case report

International Journal of Oral and Maxillofacial Surgery ◽

10.1016/j.ijom.2019.03.809 ◽

2019 ◽

Vol 48 ◽

pp. 264-265

Author(s):

R. Cota ◽

A. Goto ◽

L. Dias

Keyword(s):

Case Report ◽

Third Molar ◽

Mandibular Angle ◽

Third Molar Extraction ◽

Mandibular Angle Fracture ◽

Angle Fracture ◽

Molar Extraction

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Surgical Management of Unusual Biangular Mandibular Fractures

Case Reports in Surgery ◽

10.1155/2017/6149838 ◽

2017 ◽

Vol 2017 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Stefan Cocis ◽

Umberto Autorino ◽

Fabio Roccia ◽

Chiara Corio

Keyword(s):

Internal Fixation ◽

Maxillofacial Surgery ◽

Third Molar ◽

Mandibular Fractures ◽

Mandibular Angle ◽

Mandibular Angle Fracture ◽

Angle Fracture ◽

Angle Fractures ◽

Inferior Border ◽

Surgery Department

Bilateral mandibular angle fractures, while representing a rarity among mandibular fractures, are a huge challenge of complex management for the maxillofacial surgeon. There are still many open questions regarding the ideal management of such fractures, including the following: the removal of the third molar in the fracture line, the best surgical approach, and the fixation methods. In this report the authors present the case of 40-year-old man presenting with a bilateral mandibular angle fracture referred to the Maxillofacial Surgery Department of Turin. Open reduction and internal fixation has been made for both sides. The left side third molar was removed and the internal fixation was achieved through internal fixation with one miniplate according to Champy’s technique and transbuccal access for a 4-hole miniplate at the inferior border of the mandible. Right side third molar was not removed and fixation was achieved through intraoral access and positioning of a 4-hole miniplate along the external ridge according to Champy. An optimal reduction was achieved and a correct occlusion has been restored.

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Late mandibular angle fracture after third molar removal: A case report and critical review

Oral Surgery ◽

10.1111/ors.12599 ◽

2020 ◽

Author(s):

Carolina Chaves Gama Aires ◽

Eugênia Leal de Figueiredo ◽

Bruno José Carvalho Macêdo Neres ◽

Fernando Ferreira dos Santos Neto ◽

Ricardo José de Holanda Vasconcellos ◽

...

Keyword(s):

Case Report ◽

Critical Review ◽

Third Molar ◽

Mandibular Angle ◽

Mandibular Angle Fracture ◽

Angle Fracture

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Lower third molar displaced to lateral pharyngeal space after mandibular angle fracture: a case report

Oral and Maxillofacial Surgery ◽

10.1007/s10006-018-0673-2 ◽

2018 ◽

Vol 22 (2) ◽

pp. 231-233

Author(s):

Rodrigo dos Santos Pereira ◽

Jonathan Ribeiro da Silva ◽

João Paulo Bonardi ◽

Eduardo Hochuli-Vieira

Keyword(s):

Case Report ◽

Third Molar ◽

Mandibular Angle ◽

Mandibular Angle Fracture ◽

Angle Fracture

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Qualitative and quantitative assessment of relationship between mandibular third molar and angle fracture on North Indian population: A clinico-radiographic study

European Journal of Dentistry ◽

10.4103/1305-7456.110188 ◽

2013 ◽

Vol 07 (02) ◽

pp. 212-217 ◽

Cited By ~ 9

Author(s):

Suresh Yadav ◽

Shallu Tyagi ◽

Naveen Puri ◽

Prince Kumar ◽

Puneet Kumar

Keyword(s):

Third Molar ◽

Indian Territory ◽

Mandibular Angle ◽

The North ◽

Mandibular Angle Fracture ◽

Mandibular Third Molar ◽

Angle Fracture ◽

Angle Fractures ◽

Inferior Border ◽

The Relationship

ABSTRACT Objective: To assess the relationship between impacted mandibular third molar presence and the risk for mandibular angle fracture with the effect of various positions of mandibular third molar and the risk of mandibular angle fracture. Materials and Methods: In the North Indian territory, a total of 289 patients with mandibular angle fractures were studied and evaluated for the possible relationship with impacted third molar on the basis of clinical and panoramic radiographical findings. Results: Results that confirmed the highest risk for mandibular angle fracture was associated with mesioangular angulations (45.42%) followed by vertical (26.34%), distoangular in sequence and least risk was found with bucco-version angulations (2.67%) according to Winter′s classification. Additionally, the highest risk of mandibular angle fracture was reported with partially erupted third molar (47.75%), followed by erupted (23.53%) and unerupted third molar (19.38%). Conclusion: The risk for mandibular angle fracture is not only affected by status of eruption, angulations, position, number of roots present in third molar but also by the distance of mandibular third molar from inferior border of mandible and the percentage of remaining amount of bone at the mandibular angle region.

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