scholarly journals The influence of wisdom tooth impaction and occlusal support on mandibular angle and condyle fractures

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hesham Mohammed Al-Sharani ◽  
Zhang Bin ◽  
Mubarak Ahmed Mashrah ◽  
Endi Lanza Galvão ◽  
Essam Ahmed Al-Moraissi ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Third Molar ◽  
Epidemiological Data ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Medical Institutions ◽  
Tooth Impaction ◽  
Angle Fracture ◽  
Relationship Of

AbstractThis study aimed to analyze the relationship of the occlusal support together with the lower third molars to the mandibular fractures of the angle and condyle among patients in our medical institutions. This was a retrospective study that reviewed the medical records and radiographs of all patients treated for mandibular fractures from 2015 to 2019. The data collected by using picture archiving and communicating system. Only records with mandibular angle or condyle fractures were included. The dependent variable was the presence of the fractures of the mandibular angle or condyle. The independent variables were epidemiological data, third molar characteristics, existence or absence of occlusal support. The data was analyzed through Univariate logistic regression and multivariate logistic regression. From a total of 187 mandibular fractures, 44 presented mandibular angle fracture and 29 shown condyle fractures. The average age was 40.34 ± 13.47 years. The absence of occlusal support increased the chance of condyle fractures by 5.1 times (95% CI 1.61–17.29). The lack of occlusal support is more associated with condyle fractures than the presence of occlusal support, regardless of third molar presence and characteristics and other variables evaluated.

scholarly journals Lag Screw Technique for Treating a Mandibular Angle Fracture: Case Report

2018 ◽  
Vol 1 (3) ◽  
pp. 263-267
Author(s):  
Gabriela Mayrink ◽  
Marcelo Mendes ◽  
Roger Moreira ◽  
Ferdinando De Conto ◽  
Renato Sawazaki
Keyword(s):  
Case Report ◽  
Third Molar ◽  
Mandibular Fractures ◽  
Mandibular Angle ◽  
Intermaxillary Fixation ◽  
Cross Sectional ◽  
Postsurgical Complications ◽  
Lag Screw ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

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.

scholarly journals Surgical Management of Unusual Biangular Mandibular Fractures

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
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.

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

2013 ◽  
Vol 07 (02) ◽  
pp. 212-217 ◽  
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.

APPLICATION STUDY OF CHAMPY’S TECHNIQUE IN SURGICAL TREATMENT OF MANDIBULAR ANGLE FRACTURE

2019 ◽  
pp. 93-100
Author(s):  
Minh Phuong Hoang ◽  
Tan Tai Tran ◽  
Hong Loi Nguyen ◽  
Van Minh Nguyen ◽  
Thi Phuong Dung Le
Keyword(s):  
Surgical Treatment ◽  
Postoperative Outcome ◽  
Mandibular Fractures ◽  
Success Rates ◽  
Mandibular Angle ◽  
Application Study ◽  
Facial Surgery ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Angle Fractures

Background: Angle mandibular fractures are among the most common traumatic injuries of the maxillofacial region. The optimal treatment modality for angle fractures remains controversial. The present study was designed to describe the clinical and radiographic features of patients who had suffered mandibular angle fractures and evaluate the postoperative outcome in patients treated for the Champy’s technique. Materials and methods: 32 patients with 32 fractures of the mandibular angle were treated by the Champy’s technique at the department of maxillo facial surgery of Hue University of Medicine and Pharmacy and Hue Central Hospital, from April 2018 to February 2019. Evaluating of results when patients were discharged from hospital, 3 and 6 months after surgery. Results: The majority of the patients were males (84.4%). The majority of angle fractures have unfavorable fractures (96.9%) and displaced fractures (68.7%). The most common symptoms were pain, throbbing pain, mouth limited opening, swelling, malocclusion. Panoramic radiographs plays an important role in diagnosis (96.9). The patients were treated successfully according to Champy’s principle of osteosynthesis. Conclusions: The Michelet – Champy’s technique for surgical treatment of mandibular angle fractures was simple, easy to use, had high success rates and few complications. Key words: mandibular angle fracture, Champy’s technique

scholarly journals Does the Relationship between Retained Mandibular Third Molar and Mandibular Angle Fracture Exist? An Assessment of Three Possible Causes

2012 ◽  
Vol 5 (3) ◽  
pp. 127-135 ◽  
Author(s):  
Bruno G. Duarte ◽  
Diogo Assis ◽  
Paulo Ribeiro-Júnior ◽  
Eduardo Sanches Gonçales
Keyword(s):  
Extraction Procedure ◽  
Third Molar ◽  
Third Molars ◽  
Mandibular Angle Fracture ◽  
Mandibular Third Molar ◽  
Angle Fracture ◽  
Mandible Fractures ◽  
Angle Fractures ◽  
Relationship Of ◽  
The Relationship

The objective of this study is to discuss problems associated with dental retention through three clinical cases of mandible fractures related to the presence of retained lower third molars, emphasizing the possibility of mandible fractures resulting from this or from the extraction procedure. The three evaluated patients had a fracture in the mandible angle. The third molars were present in all the cases, as was the relationship of the fracture with the teeth. After evaluating the three cases and reviewing literature, it is believed that the presence of the retained lower third molars and the surgical procedures for their extraction increase the risk of mandible angle fractures.

Impacted lower third molar relationship with mandibular angle fracture complications

2021 ◽  
Author(s):  
Marie Beret ◽  
Romain Nicot ◽  
Thomas Roland-Billecart ◽  
Nassima Ramdane ◽  
Joël Ferri ◽  
...  
Keyword(s):  
Third Molar ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture

125 The Fate of The Third Molar in The Line of a Mandibular Angle Fracture: A Retrospective Study at A Tertiary Centre

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Dattani ◽  
A Aslam ◽  
K McMillan
Keyword(s):  
Retrospective Study ◽  
Third Molar ◽  
Fracture Repair ◽  
Queen Elizabeth Hospital ◽  
Wisdom Tooth ◽  
Mandibular Angle ◽  
Tertiary Centre ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Angle Fractures

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).

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