Mandibular angle fracture due impacted third molar inclusion: case report
DOI:
https://doi.org/10.21270/archi.v5i4.1469Abstract
Mandibular angle region is enshrined in literature as a fragile area because of the third molar presence further when its impaction shaping up as a rare complication associated with more attempts to extraction of the tooth. Several factors influence the possibility of fracture as gender, age, degree of dental inclusion and presence of associated injuries. The best form of treatment depending on the case is surgical, consisting of placing the intraosseous fixing devices. The purpose of facilitated and a conservative approach for the treatment of fractures of mandibular angle is displayed. Also, demystify the contraindication of intraoral access for cases of unfavorable fractures to displacement. This study, in addition, been reports two clinical cases of mandibular angle fractures in the presence of a third included molar treated by means of intraoral access set by Champy technique of external oblique line with the use of single board in office dental. Results: This approach is well suited to cases with little displacement of the fracture line and when the patient shows collaborator. This technique as well as fast, reduces spending on hospital besides reducing postoperative sequelae because it prevents the need for extra-oral access.Descriptors: Fracture Fixation; Therapeutics; Anesthesia, Local; Molar, Third.
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Wulkan M, Parreira JR, Botter DA. Epidemiologia do trauma facial. Rev Assoc Med Bras. 2005; 51(5):290-5.
Zix JA, Schaller B, Lieger O, Saulicic N, Thoren H, Iizuka T. Incidence, aetiology and pattern of mandibular fractures in central Switzerland. Swiss Med Wkly. 2011 May 27;141:w13207. doi: 10.4414/smw.2011.13207.
Andrade Filho EF, Fadul Jr R, Azevedo RA, Rocha MAD, Santos RA, Toledo SR, et al. Fraturas de mandíbula: análise de 166 casos. Rev Assoc Med Bras. 2000; 46(3):272-6.
Desai J, Lownie JF, Cleaton-Jone P. Prospective audit of mandibular fractures at the Charlotte Maxeke Johannesburg Academic Hospital. S Afr j surg. 2010; 48(4):122-6.
Motamedi MH. An assesment of maxillofacial fractures: a 5-year study of 237 patients. J oral Maxillofac Surg. 2003 Jan;61(1):61-4.
Ellis E 3rd, Muniz O, Anand K. Treatment considerations for comminuted mandibular fractures. J oral Maxillofac Surg. 2003 Aug;61(8):861-70.
Halmos DR, Ellis E 3rd, Dodson TB. Mandibular third molars and angle fractures. J Oral Maxillofac Surg. 2004 Sep;62(9):1076-81.
Iida S, Hassfeld S, Reuther T, Nomura K, Muhling J. Relationship between the risk of mandibular angle fractures and the status of incompletely erupted mandibular third molar. J Craniomaxillofac Surg. 2005 Jun;33(3):158-63.
Zhu SJ, Choi BH, Kim HJ, Park WS, Huh JY, Jung JH, et al. Relationship between the presence of unerupted mandibular third molars and fractures of the mandibular condyle. Int J Oral Maxillofac Surg. 2005 Jun;34(4):382-5.
Duan DH, Zhang Y. Does the presence of mandibular third molars increase the risk of angle fracture and simultaneously decrease the risk of condylar fracture? Int J Oral Maxillofac Surg. 2008 Jan;37(1):25-8.
Risdon F. Ankylosis of the temporo-mandibular joint J Am Den. Assoc 1934; 21:1933-7.
Ellis E III, Zide MF. Surgical approaches to the facial skeleton. Philadelphia: Lippincott Williams & Wilkins; 2006.
Champy M, Lodde JP. [Mandibular synthesis. Placement of the synthesis as a function of mandibular stress]. Rev. Stomatol Chir Maxillofac. 1976 Dec;77(8):971-6.
Gaetti-Jardim EC, Faverani LP, Gulinelli JL, Queiroz TP, Mgro Filho, O, Garci Júnior IR. Epidemiologia das fraturas mandibulares em pacientes atendidos na região de Araçatuba. Rev. bras. Cir. Bucomaxilofac. 2010; 10(1):39-44.
Fernandes ESP, Silva KFO, Guimarães RMP, Vasconcelos BCE, Carneiro SCAS. Prevalence of Mandibular Condylar Fractures associated with the Presence or Absence of the Lower Third Molar On Orthopantomographic Imaging. Rev Cir Traumatol Buco-Maxilo-Fac. 2012; 12(1):61-8.
Digman RO, Natvig P. Cirurgia das Fraturas Faciais . São Paulo: Ed. Santos; 1983.
Colombini NEP. Cirurgia Maxilofacial. São Paulo: Ed. Pancast; 1991.