scholarly journals Evaluation of the effectiveness of early or delayed treatment upon healing of mandibular fractures: A retrospective study

2015 ◽  
Vol 09 (01) ◽  
pp. 087-091 ◽  
Author(s):  
Giath Gazal
Keyword(s):  
Clinical Trial ◽  
Substance Abuse ◽  
Retrospective Study ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Operating Theater ◽  
Delayed Treatment ◽  
Treatment Analysis ◽  
Mandible Fractures ◽  
Fracture Types

ABSTRACT Objectives: This study was aimed to assess the impacts of delay treatment of mandibular fracture and its complications. In addition risk variables related such as time to repair, fracture types, substance abuse, causes, surgical management, muddling or complications and duration of clinic stay were also evaluated. Materials and Methods: The data of patients attending the Newcastle General Hospital, UK for the management of mandibular fractures were probed. This retrospective clinical trial conducted over 6 months, included 91 patients attending trauma operating theatre during weekdays or weekends. Data were analyzed for time to admission and treatment and its relationships to various factors using SPSS version 20 (SPSS Inc., Chicago, IL). Results: Time to treatment from the point of admission was 31.50 ± 3.83 h during week days that has been significantly more for patients attending the hospital at weekends or nights. Similar trend was observed for total summative time from the incident to treatment analysis. Conclusions: This investigation has demonstrated that the rate of infection and postoperative complications following surgical treatment of mandible fractures can be eased off by reducing the waiting time from presentation to the emergency and to the operating theater.

scholarly journals Recovery of Post-Traumatic Temporomandibular Joint after Mandibular Fracture Immobilization: A Literature Review

2021 ◽  
Vol 11 (21) ◽  
pp. 10239
Author(s):  
Carmen Gabriela Stelea ◽  
Doriana Agop-Forna ◽  
Raluca Dragomir ◽  
Codrina Ancuţa ◽  
Roland Törok ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Real Life ◽  
Mandibular Fracture ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Traumatic Injuries ◽  
Joint Fractures ◽  
Post Traumatic ◽  
Mandible Fractures

Considered as one of the most common traumatic injuries of the maxillofacial region, mandibular fractures remain among the complex causes of temporomandibular joint disorders (TMDs). Due to the complexity of the temporomandibular joint, the management of TMDs represents a challenge in real-life practice; although many treatment modalities have already been proposed, ranging from conservative options to open surgical procedures, a consensus is still lacking in many aspects. Furthermore, despite continuous improvement of the management of mandible fractures, the duration of immobilization and temporary disability is not reduced, and the incidence of complications remains high. The aim of the present study is to (i) review anatomophysiological components of temporomandibular joint; (ii) review concepts of temporomandibular joint fractures; and (iii) describe methods of the recovery of the temporomandibular joint after mandibular fracture immobilization.

scholarly journals Impacted Teeth and Mandibular Fracture

2007 ◽  
Vol 01 (01) ◽  
pp. 018-020 ◽  
Author(s):  
Murat Metin ◽  
İsmail Şener ◽  
Mustafa Tek
Keyword(s):  
Retrospective Study ◽  
Significant Variation ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Impacted Teeth ◽  
Unerupted Teeth ◽  
The Relationship

ABSTRACTObjectives: In this retrospective study, we measured the relationship between the presences of impacted or unerupted teeth in the mandible and mandibular fractures.Methods: The records and radiographs of 41 patients with mandibular fracture associated with impacted or unerupted teeth were examined. The presence of impacted or unerupted teeth were assessed for each patient and related to the occurrence of fractures of mandible.Results: Patients with fracture in the impacted or unerupted teeth area present had a 1,73 times greater chance of an mandibular fracture than patients with no fracture in the impacted or unerupted teeth area. There was a statistically significant variation in the risk for a mandibular fracture depending on impacted or unerupted teeth presence (x2=5.29, P< .05).Conclusion: The presence of an impacted or unerupted teeth significantly increases the likelihood of an mandibular fracture. (Eur J Dent 2007;1:18-20)

scholarly journals Mandibular Fractures: Pre-Operative Panoramic Radiography and Duplication Sign Patterns

2021 ◽  
Vol 5 (5) ◽  
pp. 57-66
Author(s):  
Oleksandr Nosyr ◽  
Serhii Khrulenko
Keyword(s):  
Cortical Bone ◽  
Management Strategy ◽  
Panoramic Radiography ◽  
Mandibular Fracture ◽  
Fracture Line ◽  
Mandibular Fractures ◽  
Panoramic Radiographs ◽  
Sign Patterns ◽  
Precise Diagnosis ◽  
Mandible Fractures

The purpose of this essay is to present the multiple patterns of the duplication sign at the mandibular fracture line/gap visualized at the panoramic radiography as two-line fracture gap or pseudocomminuted fracture. We retrospectively reviewed the orthopantomography of patients with mandible fractures and presented nine patients with 12 duplication signs (also known as lambda course fracture line). On panoramic radiographs the fracture line/gap with duplication sign is visualized as two-line cortical bone discontinuity with or without dislocation due to the fact that the fracture gap runs asymmetrically on the external and internal cortical plates of the jaw. Knowledge of duplication sign patterns, artifacts is also crucial for the precise diagnosis and choice of correct management strategy.

scholarly journals Atrophic mandibular fracture treatment: prototyping as a tool in surgical planning

2020 ◽  
Vol 9 (9) ◽  
pp. e796997986
Author(s):  
Reginaldo Fernandes da Silva ◽  
Rebeca Valeska Soares Pereira ◽  
Joana de Ângelis Alves Silva ◽  
Gustavo José de Luna Campos ◽  
Mário César Furtado da Costa ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Clinical Case ◽  
Mandibular Fracture ◽  
Facial Trauma ◽  
Mandibular Fractures ◽  
Surgical Time ◽  
3D Technology ◽  
Mandible Fracture ◽  
Intraoperative Period ◽  
Mandible Fractures

Introduction: Atrophic mandibular fractures are injuries found in old age due to facial trauma. Its treatment is a challenge, even for experienced surgeons, due to the different approaches that can be taken from clinical decisions. Taking into consideration the limitations that the age presented by most of the affected patients brigs, there are devices that stand out by seeking benefits in terms of predictability and time gain in the intraoperative period. The additive manufacturing is a valuable resource in the surgical planning and rehabilitation of these patients. Objective: To expose a clinical case that demonstrates the success in the use of surgical planning through a prototype printed in 3D technology. Clinical case: Elderly woman, 75 years old, victim of a fall from her own height who had a bilateral atrophic mandible fracture due to facial trauma. The surgical procedure was planned using a prototype printed in 3D technology providing predictability and reduced surgical time. The patient evolved in the postoperative period without complaints, with function immediately restores and without signs of infection or plate exposure. Conclusions: Atrophic mandible fractures are still related to a challenging treatment, therefore, adequate surgical planning and the use of auxiliary strategies such as 3D prototyping provide greater predictability of results, as well as time gain during the intraoperative.

Oral Fractures in Dogs of Brazil — A Retrospective Study

2005 ◽  
Vol 22 (2) ◽  
pp. 86-90 ◽  
Author(s):  
Fernanda M. Lopes ◽  
Marco Antonio Gioso ◽  
Daniel G. Ferro ◽  
Marco A. Leon-Roman ◽  
Michèle A.F.A. Venturini ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Mandibular Fracture ◽  
Molar Tooth ◽  
Mandibular Fractures ◽  
Maxillary Bone ◽  
Pathologic Fractures ◽  
Mandibular Region ◽  
Mandibular First Molar ◽  
Angular Process ◽  
Molar Region

A retrospective study was performed in 100 dogs with 121 mandibular and 21 maxillary fractures. Dogfight (43.0 %) and automobile (12.0 %) trauma were the most common etiologies for fracture. The cause of fracture was unknown in 23.0% of the cases, while pathologic fractures occurred in 13.0 % of cases. Young dogs (< 1-year-old) and dogs > 8-years of age were most affected. Mandibular fractures occurred in 90 dogs (90.0 %), with two dogs (2.2 %) having concurrent maxillary fractures. Maxillary fractures only were diagnosed in 10 dogs (10.0 %). The molar region (47.1 %) was the most commonly affected location for mandibular fracture, followed by fractures of the symphysis and parasymphysis (30.6 %), premolar region (17.4 %), angular process (4.1 %) and vertical ramus (0.8 %). In fractures of the mandibular region, the mandibular first molar tooth was often (85.9%) involved while the canine teeth were involved in 67.5 % of symphyseal and parasymphyseal fractures. The most common fracture of the maxilla was the maxillary bone (52.4 %), followed by the incisive (33.3 %), palatine (9.5 %), and nasal (4.8 %) bones.

Mandibular Fractures—What to Do When

1995 ◽  
Vol 112 (5) ◽  
pp. P178-P178
Author(s):  
William D. Clark ◽  
John M. Morehead
Keyword(s):  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Educational Objectives ◽  
Mandible Fractures ◽  
Special Circumstances

Educational objectives: To determine the appropriate techniques to treat a variety of mandible fractures and to access the special circumstances of the patient with a mandibular fracture and modify treatment accordingly.

Clinical trials and American Indians/Alaska Natives with substance use disorders: identifying potential strategies for a new cultural-based intervention

2014 ◽  
Vol 13 (4) ◽  
pp. 175-178 ◽  
Author(s):  
Daniel L. Dickerson ◽  
Kamilla L. Venner ◽  
Bonnie Duran
Keyword(s):  
Clinical Trial ◽  
Substance Abuse ◽  
Clinical Trials ◽  
Substance Use ◽  
Focus Groups ◽  
Substance Use Disorders ◽  
American Indians ◽  
Alaska Natives ◽  
Treatment Setting ◽  
Content Type

Purpose – The purpose of this paper is to address a significant public mental health disparity affecting American Indians/Alaska Natives (AI/ANs): the shortage of clinical trials research analyzing the benefits of AI/AN traditional-based treatments, e.g. drumming. Design/methodology/approach – A total of four focus groups were conducted among outpatient and inpatient AI/AN substance abuse patients and providers serving AI/ANs. The purpose of these focus groups was to obtain insights relating to the recent challenges of conducting a clinical trial within the outpatient treatment setting seeking to analyze the benefits of a new substance abuse treatment intervention utilizing drumming for AI/ANs [Drum-assisted Recovery Therapy for Native Americans (DARTNA)] and to obtain recommendations to successfully conduct a similar study within an inpatient treatment setting. Findings – The most prevalent barriers to conducting a clinical trial within an outpatient setting were transportation and child care issues. Recommendations were obtained with regard to optimizing recruitment and retention for a future study within an inpatient setting. Originality/value – This research offers the field rare information that helps toward identifying strategies to successfully conduct clinical trials investigating the benefits of culturally-appropriate treatments for AI/ANs with substance use disorders.

Effect of oral exercises and photobiomodulation therapy in the rehabilitation of patients with mandible fractures: randomized double-blind clinical trial

2021 ◽  
Author(s):  
Karoline Weber dos Santos ◽  
Fernando Neves Hugo ◽  
Esther da Cunha Rodrigues ◽  
Airton Tetelbom Stein ◽  
Juliana Balbinot Hilgert
Keyword(s):  
Clinical Trial ◽  
Photobiomodulation Therapy ◽  
Double Blind ◽  
Double Blind Clinical Trial ◽  
Mandible Fractures

scholarly journals Exposure to Ti4Al4V Titanium Alloy Leads to Redox Abnormalities, Oxidative Stress, and Oxidative Damage in Patients Treated for Mandible Fractures

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Jan Borys ◽  
Mateusz Maciejczyk ◽  
Bożena Antonowicz ◽  
Adam Krętowski ◽  
Danuta Waszkiel ◽  
...  
Keyword(s):  
Titanium Alloy ◽  
Oxidative Damage ◽  
Activity Concentration ◽  
Maxillofacial Surgery ◽  
Redox Balance ◽  
Passive Layer ◽  
Oxidative Modification ◽  
Mandibular Fractures ◽  
Mandible Fractures ◽  
Increased Activity

Due to the high biotolerance, favourable mechanical properties, and osseointegration ability, titanium is the basic biomaterial used in maxillofacial surgery. The passive layer of titanium dioxide on the surface of the implant effectively provides anticorrosive properties, but it can be damaged, resulting in the release of titanium ions to the surrounding tissues. The aim of our work was to evaluate the influence of Ti6Al4V titanium alloy on redox balance and oxidative damage in the periosteum surrounding the titanium miniplates and screws as well as in plasma and erythrocytes of patients with mandibular fractures. The study included 31 previously implanted patients (aged 21–29) treated for mandibular fractures and 31 healthy controls. We have demonstrated increased activity/concentration of antioxidants both in the mandibular periosteum and plasma/erythrocytes of patients with titanium mandibular fixations. However, increased concentrations of the products of oxidative protein and lipid modifications were only observed in the periosteum of the study group patients. The correlation between the products of oxidative modification of the mandible and antioxidants in plasma/erythrocytes suggests a relationship between the increase of oxidative damage at the implantation site and central redox disorders in patients with titanium miniplates and screws.

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