Mandibular angle fractures during third molar removal: a report of two cases

Özçakır-Tomruk, Ceyda; Arslan, Ahmet

doi:10.1111/j.1834-7819.2012.01674.x

Cited by 12 publications

(7 citation statements)

References 29 publications

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“…( 5 ) and Özçakir-Tomruk et al . ( 31 ), this may be due to a delay in the maturation phase during the bone regeneration period and the weakening of bone tissue associated with a reduction in bone elasticity during the aging process starting in the fourth decade of life. Likewise, Perry and Golberg ( 30 ) highlight a delay in the bone granulation phase in older patients where two thirds of the socket are not filled with osteoid material, thereby causing a decrease in the resistance of the mandibular bone.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of intraoperative and postoperative iatrogenic mandibular fractures after lower third molar extraction: A systematic review

Guillaumet-Claure¹,

Juiz-Camps²,

Gay‐Escoda³

2022

J Clin Exp Dent

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Background The surgical extraction of the lower third molars is one of the most common procedures in oral surgery, and this surgical operation can cause intra- and postoperative complications such as pain, trismus, bleeding, infection, oedema, inferior alveolar nerve injuries, displacement of teeth to neighbouring spaces and mandibular fractures. The aim of this systematic review is to report the prevalence of mandibular fractures that occur intra- and postoperatively in patients who have undergone surgical removal of the lower third molar. Material and Methods An electronic database search for articles published in Cochrane, PubMed (MEDLINE) and Scopus was conducted using the key words “Molar, Third”; “Mandibular Fractures”; “Molar Third, Removal”; “Molar Third, Complications”; “Dental Extractions, Complications”; “Mandibular Fractures, Third molar removal”. The inclusion criteria were articles including at least 10 patients and were published in English in the last 10 years. The exclusion criteria were nonhuman studies and case reports. Results Postoperative mandibular fractures after 3MI occur more frequently in male patients between the ages of 40 and 60 and are caused by premature chewing force. The parameters that most frequently characterise mandibular fractures at the mandibular angle are deeply impacted lower third molars, Class II and III, B and C, according to the Pell & Gregory classification system, mesioangular according to the Winter’s classification, and are located on the left mandibular side.. Conclusions Mandibular fractures can be predicted with adequate preoperative planning for each case and identify the related risk factors for this complication. Key words: Molar, Third; Mandibular Fractures; Molar Third, Removal; Molar Third, Complications; Dental Extractions, Complications; Mandibular Fractures, Third molar removal.

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Section: Discussionmentioning

confidence: 99%

Prevalence of intraoperative and postoperative iatrogenic mandibular fractures after lower third molar extraction: A systematic review

Guillaumet-Claure¹,

Juiz-Camps²,

Gay‐Escoda³

2022

J Clin Exp Dent

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“…Considering reports associating the occurrence of mandibular angle fractures with surgical extraction of impacted third molars, one would wonder how prophylactic removal can be justified, seeing the same unwanted outcome can follow. This consideration warranted our interest to assess current evidence associating these co‐occurrences.…”

Section: Discussionmentioning

confidence: 99%

The relationship between the lower third molar (M3) and mandibular angle/condyle fractures – a systematic review

Akadiri

Adeyemo

2017

Oral Surgery

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The literature has been inundated with research evidence associating the incidence of mandibular angle and condyle fractures to the presence or absence of an impacted third molar respectively. However, no consensus has been reached regarding the level of risk associated with the status of the third molar and its predisposition to mandibular angle or condyle fracture. This systematic review seeks to articulate the existing evidence. After a rigorous search of medical databases, relevant articles were selected and critically appraised using a mixed model analysis. The findings confirmed an inverse relationship between mandibular angle and condyle fractures; angle fractures increase with the presence of impacted third molar, while condyle fractures reduce with the presence of impacted third molar. In a simple meta-analysis, this relationship tested statistically significant (P = 0.04) with a strong correlation coefficient of 0.732. This evidence lies between Level III(Limited) and Level II (Limited) on the hierarchy of evidence. A simple guideline is proposed to guide clinical decisions on third molar surgery in trauma-prone individuals. Clinical relevanceScientific rationale for the study To determine mandibular angle/condyle fractures risk in the presence/absence of an impacted M3, and the most important predictor variables. Principal findingsRisk of angle fracture increases with the presence of impacted M3; however, removal of the tooth also predisposes to angle fracture within the first 1-4 weeks when undertaken within the 4th-5th decade of life. Combined angulation, depth and distal room score is a good predictor. Conversely, absence of M3 predisposes to condyle fractures. Practical implicationProphylactic removal of the third molar is discouraged to avoid the more complicated condyle fracture.If removal is undertaken for therapeutic reason, preemptive measures should be recommended.Oral Surgery 10 (2017) e7--e16.

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“…On the other hand, mandibular fracture, severe hemorrhage or iatrogenic displacement of these elements are the most serious complications. The incidence of mandibular fracture during or after third molars extraction ranges from 0.0046% to 0.0049% for some authors and 0.0034% to 0.0075% for others, about 37 out of 750 thousand extractions (2) (19) (4) (7).…”

Section: Methodsmentioning

confidence: 99%

Late mandibula fracture after third molar extraction; literature review / Fratura de mandibula tardia pós exodontia de terceiro molar; revisão de literatura

Pereira¹,

Medeiros²,

Guedes³

et al. 2021

BJDV

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Extraction of lower third molars is one of the most common procedures performed in oral surgery, may undergo intraoperative and post complications, with an incidence that ranges from 3.47% to 9.1%, including: bleeding, pain, dental or bone fractures, displacement of teeth or fragments, subcutaneous emphysema, nerve damage, edema and infection. Treatment depends on the fracture characteristics, maxillomandibular fixation and surgical treatment by means of fracture reduction and fixation. This article was carried out based on a search in online databases, such as PUBMED, written in Portuguese and English. Late mandibular fracture after extracion of third molars occurs between the 2nd and 6th week after surgery, most of which occur during chewing more consistent foods can cause severe trauma to the bone weakened by surgery. For this reason, the need to inform operated patients about postoperative care and the limitation of masticatory strength for 2 months after surgery, so that there is an adequate bone repair in the operated region. we conclude the importance of guiding patients on the risks inherent in the surgery to which the patient will be submitted, as well as guiding the postoperative care, necessary both in writing and verbally, to avoid any post-surgical complications or legal implications that may occur.

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Mandibular angle fractures during third molar removal: a report of two cases

Cited by 12 publications

References 29 publications

Prevalence of intraoperative and postoperative iatrogenic mandibular fractures after lower third molar extraction: A systematic review

Prevalence of intraoperative and postoperative iatrogenic mandibular fractures after lower third molar extraction: A systematic review

The relationship between the lower third molar (M3) and mandibular angle/condyle fractures – a systematic review

Late mandibula fracture after third molar extraction; literature review / Fratura de mandibula tardia pós exodontia de terceiro molar; revisão de literatura

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