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

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.

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 Comparison of Complications of Extraction among Partially Impacted Mandibular Third Molars with or without a Buccal Flap

2021 ◽  
pp. 12-19
Author(s):  
M. Ahmed Khan ◽  
Tahera Ayub ◽  
Bibi Gulsama ◽  
Azizullah Muhammad Nawaz Qureshi ◽  
Aosaf Anwar Memon ◽  
...  
Keyword(s):  
Operative Time ◽  
Maxillofacial Surgery ◽  
Operating Time ◽  
Periodontal Pocket ◽  
Third Molars ◽  
Significant Difference ◽  
Impacted Mandibular Third Molars ◽  
Buccal Flap ◽  
Mandibular Third Molars

Objective: To compare the complications of extraction of partially impacted mandibular third molars with or without a buccal flap. Materials And Methods: A comparative cohort study was performed at Department of Oral & Maxillofacial Surgery, Institute of Dentistry, Liaquat University Hospital, Hyderabad from September 2020 to March 2021. Sixty-two patients of either gender, having age 15-50 years and recommended for extraction of partially impacted mandibular third molars were selected by non-probability consecutive sampling technique and distributed into flapless group (31 patients) and buccal flap group (31 patients). Patients were treated with standard procedures of flapless and buccal flap, operating time was noted and follow up was done at 1st day, 2nd day post-operatively for pain, swelling, trismus, whereas periodontal pocket distal to second molar was measured at 1 month and 3 months follow up interval. Results: In flapless and buccal flap group male patients were 17 (54.8%) and 18 (58.1%) and female patients were 14 (45.2%) and 13 (41.9%) respectively with mean age of 27.4 ± 9.6 and 26.7 ± 8.4 years. Statistically significant difference was obtained in flapless and buccal flap groups in terms of operative time, pain score, swelling score, pocket depth and trismus. Conclusion: Flapless technique is more effective in conditions of operative time and post-operative complications. So, flapless technique can be used frequently for elimination of incompletely impacted mandibular third molars.

scholarly journals Associação entre a presença de terceiros molares inferiores não erupcionados e o risco de fratura de ângulo mandibular / Association between the presence of unerupted mandibular third molars and the risk of mandibular angle fracture

2021 ◽  
Vol 4 (3) ◽  
pp. 13355-13373
Author(s):  
Hudson Guterres Guilherme ◽  
Ian Silva Ferreira ◽  
Jonatha Matheus Mendes Moreira ◽  
Luis Raimundo Serra Rabelo ◽  
Evandro Portela Figueiredo ◽  
...  
Keyword(s):  
Third Molars ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Mandibular Third Molars

scholarly journals Pattern of Angulations and Common Indications for Extraction of Impacted Mandibular Third Molar at KMU-Institute of Dental Sciences, Kohat

2019 ◽  
Vol 8 (2) ◽  
pp. 79-83
Author(s):  
Tariq Sardar ◽  
Gulrukh Sheikh ◽  
Saddique Aslam ◽  
Numan Muhammad Khan ◽  
Javed Akhtar Rana
Keyword(s):  
Maxillofacial Surgery ◽  
Third Molar ◽  
Age Group ◽  
Third Molars ◽  
Impacted Tooth ◽  
Female Ratio ◽  
Impacted Mandibular Third Molar ◽  
Mandibular Third Molar ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Background: The extraction of an impacted mandibular third molar (MTM), with associated pathologies or clinical manifestations is an important and one of the most frequent decisions in dentistry. The angle formed by the longitudinal axis of second and third molar is used to determine angulation of impacted MTM. The aim of this study was to identify the pattern of angulations of impacted mandibular third molar and common indications for extraction associated with these angulations.Material and Methods: This descriptive cross-sectional study was carried out at Department of Oral & Maxillofacial Surgery, Khyber Medical University Institute of Dental Sciences, Kohat, Khyber Pakhtunkhwa (KP) from November 2017 to July 2018. A total of 349 patients presenting with impacted mandibular third molars were included in this study. Name, age, gender, address, the angulation of the impacted tooth and the indication for extraction of the impacted tooth were recorded. Data comprising of qualitative and quantitative variables were analyzed using SPSS version 17.Results: Out of 349 patients, 206 were male and 143 females, with the male to female ratio of 1.4:1. The age range of the patients was from 18 years to 60 years with a mean age of 26 ± 6 years. The most common age group with impacted third molar was ≤ 25 years followed by 26 to 30 years’ age group. The most common angulation was mesioangular followed by vertical, horizontal and distoangular impacted mandibular third molar. Pericoronitis was the most common indication for extraction in all angulations except horizontal impaction where root resorption of the second molar was more common.Conclusion: Mesioangular is the most common angulation in impacted mandibular third molars. Pericoronitis is the main indication for all angulations of impacted mandibular third molars except horizontal angulation, occurring mostly in the third decade of life.

scholarly journals MANDIBULAR ANGLE FRACTURE;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Anand Kumar ◽  
Syed Fida Hussain Shah ◽  
Muhammad Hamid Ali ◽  
Syed Ghazanfar Hassan
Keyword(s):  
Maxillofacial Surgery ◽  
Mandibular Angle ◽  
Non Union ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Oral Approach ◽  
Randomized Controlled Trail ◽  
Surgery Department ◽  
Department Faculty

Objectives: To compare the outcome of treatment of mandibular angle fracture by using intra oral, vs. transbuccal approaches in terms of complications. Setting: Oral & Maxillofacial surgery department, Faculty of dentistry Liaquat University of Medical & Health Sciences, Jamshoro/ Hyderabad. Duration: 1st March 2017 to 31st August 2017. Design: Randomized controlled trail. Subject and Methods: 180 patients consuming bilateral mandible angle fracture were involved in this study. 90 randomly allocated patients were managed with transbuccal approach and 90 managed by intra oral approach. Follow up was continued for each patient after every one week for 8 weeks. Results: The average age of the patients was 35.09±5.96 years. Rate of infection, malocclusion, scar formation, facial nerve injury and non-union was significantly low in transbuccal approach as compare to intra oral approach. Conclusion: In conclusion, transbuccal approach was preferred over the intra oral approach due to easy usage, negligible requirement for plate twisting, and enablement of plate engagement in the neutral mid-point zone.

Prevalence of patterns of impacted third molars

2020 ◽  
Author(s):  
Seyed Hadi Hosseini ◽  
Zahra Mazareii Fard ◽  
Donya Maleki
Keyword(s):  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Oral And Maxillofacial Surgery ◽  
Third Molars ◽  
Wisdom Tooth ◽  
Impacted Tooth ◽  
The North ◽  
Tooth Impaction ◽  
Impacted Mandibular Third Molars ◽  
Mandibular Third Molars

Aim: As the patterns of impaction can affect the treatment plan of removing or remaining the impacted tooth, the difficulty of surgery, and the post-surgical complications, this survey aimed for assessment of the mandibular wisdom tooth impaction patterns in terms of angulation and depth in the north population of Iran. Materials and Methods: 196 Panoramic radiographs were gathered from patients attending to the department of oral and maxillofacial surgery of GUMS in 2018-2019. To perform this retrospective study the prevalence of impaction, angulation, and the level of the eruption were assessed. The data were analyzed by SPSS 16. Results: This study found that the most common pattern of impacted mandibular third molars was level B in terms of depth and mesioangular in terms of angulation. Conclusion: The current study notes the importance of determining the angulation and level of wisdom tooth in designing the pre-surgical treatment and in post-surgical complaints

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