scholarly journals Correlation of Third Molar Status with Incidence of Condylar and Angle Fractures

2016 ◽  
Vol 9 (3) ◽  
pp. 224-228 ◽  
Author(s):  
Suresh Menon ◽  
Veerendra Kumar ◽  
V. Srihari ◽  
Yogitha Priyadarshini
Keyword(s):  
Retrospective Study ◽  
Third Molar ◽  
Third Molars ◽  
Positive Relation ◽  
Mandibular Angle ◽  
The Third ◽  
Angle Fractures ◽  
Condylar Fractures

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.

scholarly journals 270 A Retrospective Analysis of The Impaction Status of Mandibular Third Molars as A Risk Factor for Fractures of Angle or Condylar Region of The Mandible

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Al-Harbawee
Keyword(s):  
Third Molar ◽  
Class Ii ◽  
Class I ◽  
Third Molars ◽  
Mandibular Angle ◽  
Wisdom Teeth ◽  
Highly Correlated ◽  
Mandibular Third Molars ◽  
Angle Fractures ◽  
Condylar Fractures

Abstract Background the position and angulation of mandibular third molars have both been found to influence the angle and condylar fractures. Objective: To identify whether there is an association between the depth and angulation of third molar impaction and the relative risk of fracture of the mandibular angle and condyle. Method Four-hundred and eighty-two panoramic dental radiographs were assessed for the period from January 2012 to June 2020. The study variables included the presence of mandibular third molars, position and angulation. The outcome variables were angle and condylar fractures. Results the mean age was 28.5 years (range 15-89) and 93.2% (n = 499) were male. Angle fractures were significantly more frequent with an impacted wisdom tooth (M3) ( p = 0.023) whereas condylar fractures were more commonly associated with a fully erupted M3. The highest incidence of angle fractures was observed with wisdom teeth classified as class II ( p = 0.026) and position B ( p = 0.05). In contrast, class I wisdom molars were more frequently associated with condylar fractures. With regards to the angulation of wisdom teeth, angles between 80 o – 100 o were highly correlated with angle fractures ( p = 0.020) whereas M3 angulations of 60 o – 80 o were related to condylar injuries (p = 0.025). Conclusions fractures of the mandibular angle were significantly associated with Class II and position B wisdom teeth whereas class I third molars were associated with fracture of the condyles. The likelihood of angle and condylar fractures almost doubled when M3 angulations were (80-100) and (60-80) respectively.

Association between eruption state of the third molar and the occurrence of mandibular angle fractures

2016 ◽  
Vol 32 (5) ◽  
pp. 347-352 ◽  
Author(s):  
Roman K. Rahimi-Nedjat ◽  
Keyvan Sagheb ◽  
Collin Jacobs ◽  
Christian Walter
Keyword(s):  
Third Molar ◽  
Mandibular Angle ◽  
The Third ◽  
Angle Fractures

scholarly journals A study of mandibular angle fractures caused by sports and relation to the position of the third molars.

1997 ◽  
Vol 43 (2) ◽  
pp. 86-89
Author(s):  
Takehisa YAMADA ◽  
Yoshihiro SAWAKI ◽  
Iwai TOHNAI ◽  
Manabu TAKEUCHI ◽  
Minoru UEDA
Keyword(s):  
Third Molars ◽  
Mandibular Angle ◽  
The Third ◽  
Angle Fractures

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).

Presence of the Third Molar as a Risk Factor in Mandibular Angle Fractures

2003 ◽  
Vol 15 (3) ◽  
pp. 176-180 ◽  
Author(s):  
Atsushi Kasamatsu ◽  
Toshihide Watanabe ◽  
Harusachi Kanazawa
Keyword(s):  
Risk Factor ◽  
Third Molar ◽  
Mandibular Angle ◽  
The Third ◽  
Angle Fractures

Correlation Between Lower Third Molar Impaction Types and Mandibular Angle and Condylar Fractures: A Retrospective Study

2019 ◽  
Vol 77 (3) ◽  
pp. 556-564 ◽  
Author(s):  
Sahand Samieirad ◽  
Majid Eshghpour ◽  
Ramina Dashti ◽  
Elahe Tohidi ◽  
Abdollah Rashid Javan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Third Molar ◽  
Mandibular Angle ◽  
Condylar Fractures

Should Degree of Third Molar Eruption Influence Operative Management of Mandibular Angle Fractures? A Systematic Review

2021 ◽  
pp. 194338752110593
Author(s):  
Vikas S. Kotha ◽  
Brandon J. de Ruiter ◽  
M. Grace Knudsen ◽  
Marvin Nicoleau ◽  
Edward H. Davidson
Keyword(s):  
Systematic Review ◽  
English Language ◽  
Third Molar ◽  
Cochrane Library ◽  
Third Molars ◽  
Mandibular Angle ◽  
Group I ◽  
Group Ii ◽  
Angle Fractures ◽  
Third Molar Eruption

Objective There is a growing trend toward evidence-based management of third molars in the fracture line of mandibular angle fractures (MAFs). This study aimed to differentiate MAF fixation complications by degree of third molar eruption and by extraction strategy in patients undergoing Champy fixation. Methods PubMed, EMBASE, OVID, SCOPUS, the Cochrane Library, and clinicaltrials.gov were queried through May 2020 for English-language publications for MAFs with third molar involvement for this systematic review. Bias was assessed using author-defined criteria. Relative risk (RR) of post-operative complications associated with extracted unerupted and retained partially erupted third molars (Group I) was calculated against controls of retained unerupted and extracted partially erupted third molars (Group II). Results Ten studies reported complications by eruption or extraction; however, only one study stratified complications by both eruption and extraction to meet inclusion criteria. The risk of bias was medium as only cases meeting defined follow-up were included. 73 cases (N) were included: 34 qualified for Group I and 39 for Group II. Quantitative synthesis of individual case data demonstrated significantly higher complication rate in Group I compared to Group II (23.5% vs 5.1%) (RR 4.6, 95% CI 1.04–20.1). No significant differences were observed between groups for infectious complications, mechanical complications, nonunion, or dehiscence. Reoperation was required significantly more often for Group I ( P = .043). Conclusions For MAFs involving the third molar, concomitant extraction of unerupted as well as retention of partially erupted third molars increases risk of complications with Champy fixation technique. For these patients, alternative strategies for fixation should be considered.

scholarly journals CORRELATION OF IMPACTED MANDIBULAR THIRD MOLAR WITH INCIDENCE OF IPSILATERAL ANGLE AND CONDYLAR FRACTURES IN MANDIBULAR TRAUMA

2020 ◽  
Vol 70 (6) ◽  
pp. 1686-90
Author(s):  
Syed Yasir Ali Abidi ◽  
Adnan Babar ◽  
Kaleem Ullah Niazi ◽  
Ali Akhtar Khan ◽  
Atiqa Maryam ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Armed Forces ◽  
Third Molars ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars ◽  
Angle Fractures ◽  
Surgery Department ◽  
Condylar Fractures

Objective: This study aims to evaluate association of impacted lower third molars with incidence of ipsilateral mandibular angle and condylar fractures. Study design: Observational study. Place of study: Maxillofacial Surgery Department Armed Forces Institute of Dentistry Materials and methods: Patients reporting to armed forces institute of dentistry maxillofacial surgery department OPD were diagnosed on the basis of history, clinical signs and symptoms and radiological examinations were categorized as Mandibular Angle and Condylar fractures and impacted lower third molars. A total number of 234 radiographs of patients were examined. Duration of study: 01 year from 01 January 2019 to 31st December 2019. Results: Out of total sample size of 234 patients, 70% (79 patients) Mandibular angle fractures occurred with patients with impacted lower third molars (112 patients) and 65% (80 patients) mandibular condylar fractures occurred with patients without impacted lower third molars (122 patients). Statistically significant P-value was 0.000 that is <0.05 that signifies positive correlation of impacted mandibular third molars to cause ipsilateral mandibular angle fractures and indirectly preventing condylar fractures. Conclusion: Patients that do not have impacted lower third molars are more prone to suffer Condylar fractures in case of mandibular trauma which is associated with more postoperative risks and morbidity as compared to mandibular angle fractures that occur more commonly in patients with impacted lower third molars. As mandibular fractures are common, practice for prophylactic removal of lower third molars should be discontinued. Keywords: Mandibular Condylar fracture, Mandibular Angle fracture, Impacted mandibular third molars

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