A multi-centre retrospective study of mandibular fractures: do occlusal support and the mandibular third molar affect mandibular angle and condylar fractures?

2016 ◽  
Vol 45 (9) ◽  
pp. 1095-1099 ◽  
Author(s):  
T. Hasegawa ◽  
H. Sadakane ◽  
M. Kobayashi ◽  
A. Tachibana ◽  
T. Oko ◽  
...  
2016 ◽  
Vol 9 (3) ◽  
pp. 224-228 ◽  
Author(s):  
Suresh Menon ◽  
Veerendra Kumar ◽  
V. Srihari ◽  
Yogitha Priyadarshini

The mandibular angle and condylar regions are most prone to fractures and this has been attributed to the presence/absence or the position of the third molars. This retrospective study was undertaken to analyze the correlation between the third molars and incidence of condylar and angle fractures in 104 patients treated for these fractures during the period from June 2009 to December 2013. Clinical and radiographic records of these patients were studied to look for the presence and position of third molars and their relation to incidence of condylar or angle fractures. There was a definite positive relation to impacted third molars and increased incidence of angle fractures. The condylar fractures were more commonly seen when the third molars were fully erupted or missing. Third molar impactions predispose to angle fractures and missing or fully erupted third molars predispose to condylar fractures.


2019 ◽  
Vol 77 (3) ◽  
pp. 556-564 ◽  
Author(s):  
Sahand Samieirad ◽  
Majid Eshghpour ◽  
Ramina Dashti ◽  
Elahe Tohidi ◽  
Abdollah Rashid Javan ◽  
...  

2015 ◽  
Vol 1 (1) ◽  
pp. 47
Author(s):  
Hendri Poernomo

Fraktur mandibula sering terjadi pada praktek kedokteran gigi. Fraktur biasanya terjadi di daerah angulus mandibula tepat di daerah yang terdapat gigi impaksi. Masalah yang ditimbulkan akibat fraktur mandibula, yaitu hilangnya keseimbangan, terputusnya komponen neurovascular dan cedera pada jaringan disekitar fraktur. Tujuan dari penelitian ini adalah untuk mengetahui adanya perbedaan ketebalan tulang angulus mandibula antara kelompok yang memiliki gigi impaksi dengan kelompok yang tidak memiliki gigi impaksi serta jenis kelamin berdasarkan radiografis. Jenis penelitian deskriptif analitik menggunakan 40 sampel foto rontgen panoramik. Hasil penelitian terdapat perbedaan rata-rata antara pasien yang memiliki gigi impaksi dan tanpa gigi impaksi yaitu 1,44. Pada pasien impaksi gigi molar ketiga menurut jenis kelaminmenunjukkan perbedaan rerata ketebalan angulus mandibula sebesar 1,19 pada laki-laki dan 1,16 pada perempuan serta pasien tanpa impaksi menunjukkan nilai rerata ketebalan angulus mandibula sebesar 1,48 pada laki-laki dan 1,40 pada perempuan. Berdasarkan perhitungan T-test terdapat perbedaan yang bermakna (ρ<0,05). Kesimpulan bahwa adanya perbedaan signifikan ketebalan angulus mandibula pada pasien dengan gigi impaksi molar ketiga rahang bawah dan kelompok pasien tanpa gigi impaksi molar ketiga rahang bawah, serta jenis kelamin. Effect of impacted teeth on thickness of the angle of mandible based on gender. Mandibular fractures often occur in dental practice. Fractures usually occur in the angle of the mandible within the area of the impacted tooth. Some problems that are caused by mandibular fractures area are, the loss of balance, the breaking of neurovascular components and injury to the tissue surrounding the fracture. The purpose of this study is to determine the differences in bone thickness of the angle of the mandible between the groups that have an impacted tooth with the group that does not have an impacted tooth with different gender based on radiographic. This analytic descriptive study used 40 samples of panoramic radiographs. The study results show that the average difference between patients that have impacted tooth with patients that do not have is 1,44. Patients with impacted third molar based on gender show an average difference of the thickness of mandibular angle of 1,19 for men and 1,16 for women and patients with no impaction show an average thickness of the mandibular angle of 1,48 for men and 1,40 for women. Based on T-test calculation, there is a significant difference (ρ <0.05). The conclusion of study is that there is significant differences in the thickness of the angle of the mandible based on group of patients with impacted mandibular third molar, with the group of patients without impacted mandibular third molar.


2013 ◽  
Vol 07 (02) ◽  
pp. 212-217 ◽  
Author(s):  
Suresh Yadav ◽  
Shallu Tyagi ◽  
Naveen Puri ◽  
Prince Kumar ◽  
Puneet Kumar

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.


2014 ◽  
Vol 7 (4) ◽  
pp. 280-283 ◽  
Author(s):  
Paolo Boffano ◽  
Fabio Roccia ◽  
Cesare Gallesio ◽  
K. Karagozoglu ◽  
Tymour Forouzanfar

The aim of the study was to investigate the incidence of the inferior alveolar nerve (IAN) injury in mandibular fractures. This study is based on two databases that have continuously recorded patients hospitalized with maxillofacial fractures in two departments—Department of Maxillofacial Surgery, Vrije Universiteit University Medical Center, Amsterdam, the Netherlands, and Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Demographic, anatomic, and etiology variables were considered for each patient and statistically assessed in relation to the neurosensory IAN impairment. Statistically significant associations were found between IAN injury and fracture displacement ( p = 0.03), isolated mandibular fractures ( p = 0.01), and angle fractures ( p = 0.004). A statistically significant association was also found between IAN injury and assaults ( p = 0.03). Displaced isolated mandibular angle fractures could be considered at risk for increased incidence of IAN injury. Assaults seem to be the most important etiological factor that is responsible for IAN lesions.


2017 ◽  
Vol 4 (1) ◽  
pp. 23-27
Author(s):  
Muhammad Ilyas ◽  
Jawad Ahmad Kundi ◽  
Irtifaq Ahmad Noor ◽  
Obaid Zeb ◽  
Salman Khan

OBJECTIVESThe aim of this study was to evaluate the relation of distal caries of second molar with patterns of impacted third molar.METHODOLOGYA retrospective study was carried out from January 2017 to June 2017.A total of 160 patients and 276 impacted teeth were selected with an age > 18 years. A single researcher assigned the diagnosis of caries and patterns of impacted teeth through clinical notes and orthopantomogram(OPG)which was reviewed by Head of Department. Winter’s and Pell and Gregory classification was used for impaction classification. The data was analyzed using SPSS 22.0 version. P ≤ 0.05 was considered as statistically significant.RESULTSFemale (56.3%) were predominant than male (43.8%) with mean age presentation was 24.2 ± 4.7 years.271 mandibular second molars were present. Vertical (64.5%) impaction was found to be the most frequent followed by mesioangular (19.6%). Pearson correlation showed that vertical impaction was significantly related to distal caries of second molar(Right side, r=.262 p=.002 and Left side, r=.240 p=.006).CONCLUSIONVertical impaction was positively related with distal caries therefore prophylactic removal of lower impacted teeth is recommended.


Sign in / Sign up

Export Citation Format

Share Document