Avoiding occlusal derangement in facial fractures: An evidence based approach

Mendonca, Derick A.; Kenkere, Deepika

doi:10.4103/0970-0358.118596

Cited by 18 publications

(18 citation statements)

References 31 publications

(45 reference statements)

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“…20 Tooth in the line of fracture has been implicated among causes of non-union in mandibular fractures. 21 Infection is the most common complication with mandibular fractures, especially those at the angle. Infections evaluated in all included studies, Infections were 8.1% with the transbuccal approach and 11.7% with the extraoral approach which could be due to enlarged operative period and inappropriate patient care and wound dehiscence.…”

Section: Patientsmentioning

confidence: 99%

Mandibular Angle Fracture;

Kumar

Shah

Ali

et al. 2019

TPMJ

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ABSTRACT… Objectives: To compare the outcome of treatment of mandibular angle fracture by using intra oral, vs. transbuccal approaches in terms of complications. Setting: 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.Article Citation: Kumar A, Shah SFH, Ali MH, Hassan SG. Mandibular angle fracture; comparison of complication rates of intra oral and transbuccal approach.

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Section: Patientsmentioning

confidence: 99%

Mandibular Angle Fracture;

Kumar

Shah

Ali

et al. 2019

TPMJ

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“…Small fracture gaps at the inferior border may be an expected finding at the angle after semirigid functional fixation (51). The ideal lines of osteosynthesis are subapical and juxta-alveolar and thereby enable one to avoid the tooth root and inferior alveolar nerve danger spaces (7). Miniplates and monocortical screws are placed along the ideal lines by using intraoral incisions, which prevents visible scars and nerve injury.…”

Section: Ideal Lines Of Osteosynthesis and Semirigid Fixation (Champymentioning

confidence: 99%

“…More liberal strategies favoring tooth retention have been made possible with the routine use of preoperative antibiotics and rigid fixation techniques (5,66,67). Although teeth can serve as a portal for infection, complications may be greater when the tooth is extracted than when it is left in place (7,45). Hematoma within the tooth socket after surgery can act as a culture medium and result in wound infection (45,67).…”

Section: Teeth In the Line Of Fracturementioning

confidence: 99%

“…Treatment management decisions are becoming increasingly more dependent on the detailed information gleaned from multidetector computed tomography (CT) (6), as failure to recognize the precise morphology, extent, and/ or severity of a fracture can lead to an inadequate fixation or suboptimal surgical approach (7). Radiologists should be aware of the guiding principles of mandibular fracture reduction and management.…”

Section: Introductionmentioning

confidence: 99%

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Multidetector CT of Mandibular Fractures, Reductions, and Complications: A Clinically Relevant Primer for the Radiologist

Dreizin¹,

Nam²,

Tirada³

et al. 2016

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After the nasal bones, the mandible is the second most common site of facial fractures, and mandibular fractures frequently require open reduction. In the trauma injury setting, multidetector computed tomography (CT) has become the cornerstone imaging modality for determining the most appropriate treatment management, fixation method, and surgical approach. Multidetector CT is also used to assess the adequacy of the reduction and evaluate potential complications in the postoperative period. For successful restoration of the mandible's form and function, as well as management of posttraumatic and postoperative complications, reconstructive surgeons are required to have a detailed understanding of mandibular biomechanics, occlusion, and anatomy. To provide added value in the diagnosis, treatment planning, and follow-up of mandibular fractures, radiologists should be aware of these concepts. Knowledge of the techniques commonly used to achieve occlusal and anatomic reduction and of the rationale behind the range of available treatment options for different injury patterns-from isolated and nondisplaced fractures to multisite and comminuted fractures-also is essential. This article focuses on the use of multidetector CT for pre- and postoperative evaluation of mandibular fractures and outlines fundamental concepts of diagnosis and management-beginning with an explanation of common fracture patterns and their biomechanical underpinnings, and followed by a review of the common postoperative appearances of these fractures after semirigid and rigid fixation procedures. Specific considerations regarding fractures in different regions of the tooth-bearing and non-tooth-bearing mandible and the unique issues pertaining to the edentulous atrophic mandible are reviewed, and key features that distinguish major from minor complications are described. (©)RSNA, 2016.

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“…(Table). [11][12][13][14][15][16][17][18][19][20][21][22] Article citation preference was given to the most current literature found for each category. In general, indications for nonoperative management included the presence of minimally displaced fractures, minimal or absent symptoms, patient noncompliance, and patients who were medically unfit.…”

Section: Surfmentioning

confidence: 99%

Interrelationship of Structure and Function in Maxillofacial Fractures

Kieliszak¹,

Larson

Keller³

et al. 2016

Journal of Osteopathic Medicine

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Surgical fixation of maxillofacial fractures can be associated with a myriad of surgical complications. Specific complications correlate with the type of fracture. The authors present a case of multiple maxillofacial fractures, briefly review various types of fractures, and discuss the operative decision-making process. This case report serves as an important reminder that the operative decision-making process should take into account a patient's entire clinical condition.

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Avoiding occlusal derangement in facial fractures: An evidence based approach

Cited by 18 publications

References 31 publications

Mandibular Angle Fracture;

Mandibular Angle Fracture;

Multidetector CT of Mandibular Fractures, Reductions, and Complications: A Clinically Relevant Primer for the Radiologist

Interrelationship of Structure and Function in Maxillofacial Fractures

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