Mandibular fractures following third molar extraction

Iizuka, Tetsuya; Tanner, Sandro; Berthold, H

doi:10.1016/s0901-5027(97)80793-x

Cited by 70 publications

(24 citation statements)

References 7 publications

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“…Male patients over 40 years of age with complete dentitions are considered to be at a higher risk for mandibular fracture 18,19. However, Libersa et al 7 found that 85% of patients with mandibular fractures were over 25 years of age and that the mean age of these patients was 40 years.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Çankaya¹,

Erdem²,

Çakarer³

et al. 2011

Int. J. Med. Sci.

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Third molar extraction is one of the most common procedures performed in oral and maxillofacial surgery units. It is sometimes accompanied by complications such as alveolar osteitis, secondary infection, hemorrhage, dysesthesia and, most severely, iatrogenic fracture. This article describes two mandibular angle fractures that occurred in two patients during the surgical extraction of one erupted and one unerupted third molar, including a brief review of the literature.

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Section: Discussionmentioning

confidence: 99%

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Çankaya¹,

Erdem²,

Çakarer³

et al. 2011

Int. J. Med. Sci.

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“…In the cases reported by Harnisch [1], Iizuka et al . [7] and Wagner et al . [11], the average age at which surgery of M3 was performed was 49 ± 3 years and for these authors there is an increase in the incidence of fractures and their possible risk, especially in males with full dentition, for those patients older than 40 years.…”

Section: Discussionmentioning

confidence: 99%

Pathological (late) fractures of the mandibular angle after lower third molar removal: a case series

et al. 2013

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IntroductionPathological (late) fracture of the mandibular angle after third molar surgery is very rare (0.005% of third molar removals). There are 94 cases reported in the literature; cases associated with osseous pathologies such as osteomyelitis or any local and systemic diseases that may compromise mandibular bone strength have not been included. We describe three new cases of pathological (late) fracture of the mandibular angle after third molar surgery.Case presentationsThe first patient was a 27-year-old Caucasian man who had undergone surgical removal of a 3.8, mesioangular variety, class II-C third molar 20 days before admission to our clinic. The fracture of his left mandibular angle, complete and composed, occurred during chewing. The second patient was a 32-year-old Caucasian man. He had undergone surgical removal of a 3.8, mesioangular variety, class II-B third molar 22 days before his admission. The fracture, which occurred during mastication, was studied by computed tomography that showed reparative tissue in the fracture site. The third patient was a 36-year-old Caucasian man who had undergone surgical removal of a 3.8, vertical variety, class II-C third molar 25 days before the observation. In this case the fracture of his mandibular angle was oblique (unfavorable), complete and composed. The fracture had occurred during chewing. We studied the fracture by optical projection tomography and computed tomography.All of the surgical removals of the 3.8 third molars, performed by the patients’ dentists who had more than 10 years of experience, were difficult. We treated the fractures with open surgical reduction, internal fixation by titanium miniplates and intermaxillary elastic fixation removed after 6 weeks.ConclusionsThe literature indicates that the risk of pathological (late) fracture of the mandibular angle after third molar surgery for total inclusions (class II-III, type C) is twice that of partial inclusions due to the necessity of ostectomies more generous than those for partial inclusions. Other important factors are the anatomy of the teeth and the features of the teeth roots. These fractures predominantly occur in patients who are older than 25 years. The highest incidence (67.8% of cases) is found in the second and third week postsurgery. We emphasize that before the third molar surgery it is extremely important to always provide adequate instructions to the patient in order to avoid early masticatory loads and prevent this rare event.

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“…Bone loss in the third molar region, following extraction may not only lead to periodontal problems[ 4 5 ] in the second molar region but also it may lead to some serious problems such as increased incidence of angle fractures. [ 6 ] To reduce the risks following third molar surgery, the socket should be augmented with bone grafts. The literature has shown that early bone loss can be significantly reduced by advanced socket management.…”

Section: Introductionmentioning

confidence: 99%

Assessment of regeneration of bone in the extracted third molar sockets augmented using xenograft (CollaPlug^TN Zimmer) in comparison with the normal healing on the contralateral side

Ranganathan

Balaji

Rajaram³

et al. 2017

J Pharm Bioall Sci

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Introduction:Alveolar bone resorption is a significant clinical problem. Bone loss in third molar region following extraction or surgical removal not only leads to periodontal problems in second molar region but also it may lead to some serious problems like increased incidence of angle fractures. In order to reduce the risks following third molar surgery, the socket should be augmented with bone grafts. In recent days guided tissue regeneration is the most accepted and successful technique followed many authors and its efficacy has been proved.Materials and Methods:Based upon our clinical experience, the use of bio absorbable collagen wound dressing such as CollaPlugTN has achieved quick healing and more primary wound coverage. Amongst the graft materials collagen is preferable due to its high biocompatibility and hemostatic ability. This study was done to assess the regeneration of bone in the extracted third molar sockets using xenograft (CollaPlugTN-Zimmer) which was compared with the normal healing on the contra lateral side. The assessment was done to analyze post-operative healing complications and to compare the bone density formed between control site and implant site radiologically.Conclusion:On this basis of this study, the use of collaplugTN appears to be beneficial to the patient in postoperative wound healing and also for better bone formation. The use of this material was advantageous because of its simplicity of application cost effectiveness and availability. There is enhanced wound healing and early bone formation.

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Mandibular fractures following third molar extraction

Cited by 70 publications

References 7 publications

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Pathological (late) fractures of the mandibular angle after lower third molar removal: a case series

Assessment of regeneration of bone in the extracted third molar sockets augmented using xenograft (CollaPlug^TN Zimmer) in comparison with the normal healing on the contralateral side

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Mandibular fractures following third molar extraction

Cited by 70 publications

References 7 publications

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Iatrogenic Mandibular Fracture Associated with Third Molar Removal

Pathological (late) fractures of the mandibular angle after lower third molar removal: a case series

Assessment of regeneration of bone in the extracted third molar sockets augmented using xenograft (CollaPlugTN Zimmer) in comparison with the normal healing on the contralateral side

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Product

Resources

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Assessment of regeneration of bone in the extracted third molar sockets augmented using xenograft (CollaPlug^TN Zimmer) in comparison with the normal healing on the contralateral side