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).

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.

scholarly journals Mandibular angle fracture due impacted third molar inclusion: case report

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
Keyword(s):  
Rare Complication ◽  
Oblique Line ◽  
Third Molar ◽  
Mandibular Angle ◽  
Impacted Third Molar ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Molar Third ◽  
External Oblique ◽  
Angle Fractures

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.

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 A Prospective Study of Strut versus Miniplate for Fractures of Mandibular Angle

2013 ◽  
Vol 6 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Amy S. Xue ◽  
John C. Koshy ◽  
Erik M. Wolfswinkel ◽  
William M. Weathers ◽  
Kristina P. Marsack ◽  
...  
Keyword(s):  
Mandibular Angle ◽  
Patient Demographics ◽  
Mandibular Angle Fracture ◽  
Plate Group ◽  
Angle Fracture ◽  
Significant Difference ◽  
Comminuted Fractures ◽  
Angle Fractures ◽  
A Prospective Study ◽  
To Receive

This prospective randomized clinical trial compared the treatment outcomes of strut plate and Champy miniplate in fixation of mandibular angle fractures. Patients with mandibular angle fracture were consented and enrolled into this study. Exclusion criteria include patients with severely comminuted fractures. The patients were randomly assigned to receive the strut plate or Champy miniplate for angle fracture fixation. Patient demographics, fracture characteristics, operative and postoperative outcomes were collected prospectively. Statistical analysis was performed to evaluate the significance of the outcome. A total of 18 patients were included in this study and randomly assigned to receive either the strut plate or Champy miniplate. Out of which five patients were excluded postoperatively due to complex fracture resulting in postoperative maxillomandibular fixation. The final enrollment was 13 patients, N = 6 (strut) and N = 7 (Champy). There was no statistically significant difference in the pretreatment variables. Nine of these patients had other associated facial fractures, including parasymphyseal and subcondylar fractures. Most of the (11) patients had sufficient follow-up after surgery. Both groups exhibited successful clinical unions of the mandibular angle fractures. The complications associated with the mandibular angle were 20% in the strut plate group and 16.7% in the Champy group. One patient in the strut plate group had a parasymphyseal infection, requiring hardware removal. The strut plate demonstrated comparable surgical outcome as the Champy miniplate. It is a safe and effective alternative for management of mandibular angle fracture.

scholarly journals Transoral Miniplate Fixation of Mandibular Angle Fracture with and without 2 Weeks of Maxillomandibular Fixation: A Clinical Trial Study

2013 ◽  
Vol 6 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Kazem S. Khiabani ◽  
Meghdad Khanian Mehmandoost
Keyword(s):  
Facial Trauma ◽  
Mandibular Angle ◽  
Maxillomandibular Fixation ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Ideal Line ◽  
External Oblique ◽  
Angle Fractures ◽  
Sufficient Strength ◽  
Single Miniplate

Background and Objectives The ideal line of osteosynthesis in mandibular angle fractures indicates that a plate might be placed either along or just below the external oblique ridge. Some authors believe that using one miniplate at this line at the mandibular angle region provides sufficient strength to stabilize the fracture but others imply a second plate is required. Such controversies exist in the use of maxillomandibular fixation (MMF). The intention of the present study was to compare efficiency and complications of using one miniplate with and without MMF in mandibular angle fractures. Methods and Materials Forty patients with facial trauma with mandibular angle fractures including displaced and unfavorable fractures were categorized into two groups of 20 persons. In all patients, one miniplate was placed on the external oblique ridge. In the first group, patients had light maxillomandibular elastic bands just after surgery but no rigid MMF. In the second group, patients had rigid MMF for 2 weeks after surgery. Patients were followed to evaluate complications and treatment efficiency. Conclusions Our study showed that use of a single miniplate in the external oblique ridge is a functionally stable treatment for all types of angle fractures (including displaced and unfavorable fractures) except comminuted and long oblique fractures, which were not included in our study. Use of postoperative MMF did not improve the results.

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