Impacted third molar and mandibular angle fractures

Author(s):  
Thomas B. Dodson
2016 ◽  
Vol 5 (4) ◽  
Author(s):  
Ellen Cristina Gaetti Jardim ◽  
Cassiano Costa Silva Pereira ◽  
Idelmo Rangel Garcia Junior ◽  
Elerson Gaetti-Jardim Junior ◽  
Julio Cesar Leite da Silva

Mandibular angle region is enshrined in literature as a fragile area because of the third molar presence further when its impaction shaping up as a rare complication associated with more attempts to extraction of the tooth. Several factors influence the possibility of fracture as gender, age, degree of dental inclusion and presence of associated injuries. The best form of treatment depending on the case is surgical, consisting of placing the intraosseous fixing devices. The purpose of facilitated and a conservative approach for the treatment of fractures of mandibular angle is displayed. Also, demystify the contraindication of intraoral access for cases of unfavorable fractures to displacement. This study, in addition, been reports two clinical cases of mandibular angle fractures in the presence of a third included molar treated by means of intraoral access set by Champy technique of external oblique line with the use of single board in office dental. Results: This approach is well suited to cases with little displacement of the fracture line and when the patient shows collaborator. This technique as well as fast, reduces spending on hospital besides reducing postoperative sequelae because it prevents the need for extra-oral access.Descriptors: Fracture Fixation; Therapeutics; Anesthesia, Local; Molar, Third.


2016 ◽  
Vol 32 (5) ◽  
pp. 347-352 ◽  
Author(s):  
Roman K. Rahimi-Nedjat ◽  
Keyvan Sagheb ◽  
Collin Jacobs ◽  
Christian Walter

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 47 (03) ◽  
pp. 354-361 ◽  
Author(s):  
Sathya Kumar Devireddy ◽  
R.V. Kishore Kumar ◽  
Rajasekhar Gali ◽  
Sridhar Reddy Kanubaddy ◽  
Mallikarjuna Rao Dasari ◽  
...  

ABSTRACT Introduction: Mandibular fractures represent approximately two-thirds of all the maxillofacial fractures (nearly 70%) out of which fractures of mandibular angle represent for 26-35%. Aim of the Study: The aim of this study is to compare the transoral and extraoral (submandibular) approaches for fixation of mandibular angle fractures. Objectives of Study: The objectives of the following study are to evaluate ease of accessibility, time taken for the procedure, ease of anatomic reduction and complications. Materials and Methods: A prospective study was carried out in 30 patients reporting to the Department of Oral and Maxillofacial surgery, Narayana Dental College and Hospital, Nellore, Andhra Pradesh during the period of months from November 2011 to August 2013 who were randomly divided in two groups based on computer generated simple randomization chart. Group I patients underwent transoral reduction and fixation and Group II patients underwent extraoral reduction and fixation. The ease of accessibility was analysed by visual analogue scale by the operating surgeon, time taken from incision to closure with digital clock, difficulty level index of surgeon based on the time taken for the procedure and approach related complications. Results: The ease of accessibility in Group I was good in 53.3% while in Group II patients approached extraorally it was good in 86.7%. Group I patients approached transorally showed a mean of 49.7 min while that of Group II patients approached extraorally showed a mean of 73.4 min. Group I had a minimum difficulty level index in 60%, moderate difficulty level in 33.3% and severe difficulty level in 6.7% while Group II had a minimum and moderate difficulty level in 46.7% and severe difficulty level in 6.7%. There was 1 (6.7%) complication reported in each group. Conclusion: The statistical analysis of this study concludes that fracture line starting anterior to mandibular third molar and ending at anteroinferior border of the insertion of the masseter muscle or posterior body of mandible can be approached transorally. Fracture line starting posterior or distal to the third molar or posterior to the insertion of the masseter muscle to the angle of the mandible or fracture line extending high in the ramus, extraoral approach provides a better choice for reduction and fixation of the fractured segments with restoration of anatomical and functional occlusion.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Dattani ◽  
A Aslam ◽  
K McMillan

Abstract Aim: To evaluate the risk of complications associated with retaining or extracting an asymptomatic third molar in the line of an angle fracture. Aiming to seek a consensus whether third molars should be extracted or retained during surgical repair of mandibular angle fractures. Method A retrospective study was undertaken at the Queen Elizabeth Hospital, Birmingham. 150 patients across a span of three years underwent open reduction and internal fixation of mandibular angle fractures with third molar involvement. Patients were classified into two groups, tooth retention during angle fracture and tooth removal during angle fracture repair. Hospital records were evaluated to seek the rate of post-operative complications at follow-up Results 162 angle fractures were identified with ipsilateral wisdom teeth present. In 37 cases the wisdom tooth was removed during surgery. 6 complications (16.2%) occurred in this group necessitating a return to theatre. In 125 cases the wisdom tooth was left in-situ. Complications necessitating a return to theatre occurred in 14 cases (11.1%). Conclusions This study indicates that retention of wisdom tooth overall did not significantly increase the risk of complications associated with angle fractures (p = 0.42). Where wisdom tooth pathology was noted its retention was associated with complications requiring a return to theatre (X2=4.40, p = 0.036).


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.


2003 ◽  
Vol 15 (3) ◽  
pp. 176-180 ◽  
Author(s):  
Atsushi Kasamatsu ◽  
Toshihide Watanabe ◽  
Harusachi Kanazawa

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