An epidemiologic retrospective study of maxillofacial traumatology in the elderly

Bertin, Eugénie; Louvrier, Aurélien; Meyer, Christophe; Weber, E.; Barrabé, Aude; Pons, M.

doi:10.1016/j.jormas.2022.05.024

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…The most reported causal factors were falls, car accidents, and aggression/violence. Accidental falls were the most common cited etiology of MDT in older people, as previously demonstrated 21,40 . The elderly population may have comorbidities that affect their health, which increases the risk of falls and the occurrence of MDT 41 .…”

Section: Discussionmentioning

confidence: 78%

“…Accidental falls were the most common cited etiology of MDT in older people, as previously demonstrated. 21,40 The elderly population may have comorbidities that affect their health, which increases the risk of falls and the occurrence of MDT. 41 The intrinsic factors associated with the risk of falling include physiological characteristics and changes associated with age.…”

Section: Discussionmentioning

confidence: 99%

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World trends in publication for maxillofacial and dental trauma in the elderly

Turino,

Jural,

da Silva

et al. 2023

Dental Traumatology

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Aging may increase the risk of maxillofacial and dentoalveolar trauma (MDT). This review assessed global trends in scientific publications on MDT in the elderly. Six databases were searched. Studies about MDT in the elderly (≥60 years old) were included in two text mining stages (S1 and S2). In S1, all studies with elderly subjects were included, while in S2 only studies in which the elderly were assessed in a separate set of data or in a subanalysis by age groups were included. In S1, relevant data were mined using VantagePoint™ software. In S2, data were descriptively analyzed. There were 2265 studies at S1 and 110 at S2. The publication dates spanned from 1963 to 2023. In S1, the most cited keywords and terms were aged (n = 1872), male (n = 1839), female (n = 1777), “mandible fracture” (n = 460), “orbit fracture” (n = 362), and “maxilla fracture” (n = 118). Thirty authors published 10 or more articles with visible collaboration networks. There was a progressive increase in publications, especially in Europe (n = 150). In S2, most studies were case reports/case series (n = 62). The primary etiology was accidental falls (n = 84), the most affected region was the middle third of the face (n = 65), and dental trauma was rarely reported (n = 15). Cone Beam computed tomography was the most used diagnostic tool (n = 67). Of the 81 articles that addressed therapy, 52 opted for surgical treatment. Although there has been an increase in the number of articles on MDT over the years, studies with the elderly population as a specific study group are still needed. Accidental falls were the most reported etiology, while the middle third of the face and the mandible were the anatomic region and bone most affected, respectively. The high number of case reports indicates the need for improvement in the available scientific evidence about MDT in the elderly.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

World trends in publication for maxillofacial and dental trauma in the elderly

Turino,

Jural,

da Silva

et al. 2023

Dental Traumatology

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“…In an increasingly ageing population, the associated and growing number of elderly patients requiring appropriate treatment of edentulism continues to gain importance [ 8 – 10 ]. In addition, the elderly population has also been shown to be highly physically active suggesting that this active and agile group of elderly patients may be increasingly exposed to the risk of physical maxillofacial trauma [ 11 – 13 ]. Within the field of traumatic maxillofacial lesions mandibular fractures represent the most common facial injuries predominantly related to accidents, violence and falls [ 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of frontal trauma on the edentulous mandible with four different interforaminal implant-prosthodontic anchoring configurations. A 3D finite element analysis

Krennmair,

Malek,

Stehrer

et al. 2023

Eur J Med Res

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Purpose The present three-dimensional (3D) finite element analysis (FEA) was aimed to assess the biomechanical effects and fracture risks of four different interforaminal implant-prosthodontic anchoring configurations exposed to frontal trauma. Material and methods A symphyseal frontal trauma of 1 MPa was applied to four dental implant models with different configurations (two unsplinted interforaminal implants [2IF-U], two splinted interforaminal implants [2IF-S], four unsplinted interforaminal implants[ 4IF-U], four splinted interforaminal implants [4IF-S]. By using a 3D-FEA analysis the effective cortical bone stress values were evaluated in four defined regions of interest (ROI) (ROI 1: symphyseal area; ROI 2: preforaminal area; ROI 3: mental foraminal area; and ROI 4: condylar neck) followed by a subsequent intermodel comparison. Results In all models the frontal traumatic force application revealed the highest stress values in the condylar neck region. In both models with a four-implant configuration (4IF-U, 4IF-S), the stress values in the median mandibular body (ROI 1) and in the condylar neck region (ROI 4) were significantly reduced (P <0.01) compared with the two-implant models (2IF-U, 2IF-S). However, in ROI 1, the model with four splinted implants (4IF-S) showed significantly (P < 0.01) reduced stress values compared to the unsplinted model (4IF-U). In addition, all models showed increased stress patterns in the area adjacent to the posterior implants, which is represented by increased stress values for both 2IF-U and 2IF-S in the preforaminal area (ROI 3) and for the four implant-based models (4IF-U, 4IF-S) in the mental foraminal area. Conclusion The configuration of four splinted interforaminal implants showed the most beneficial distribution of stress pattern representing reduced stress distribution and associated reduced fracture risk in anterior symphysis, condylar neck and preforaminal region.

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“…The mandibular fractures are the most common facial fractures with a high prevalence of condylar and subcondylar fractures of the mandible [1][2][3][4]. In elderly subjects, mandible fractures occur frequently, with an incidence between 27.8% and 43.3% [5,6]. The fracture site can be the mandible midline, paramedian, body, angle, or condyle [7].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

Hedeșiu

Pavel

Almășan

et al. 2022

Oral

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The main objective was to examine the biomechanical behavior of the mandible under standardized trauma and to develop models of biomechanical responses when the mandible is subjected to various simulated impacts. A homogenous model based on the bone’s average mechanical properties was used. To simulate external loads on the mandible, forces on the chin, forces in an anteroposterior direction, and forces from the basilar edge were applied. To simulate mandibular biomechanics, we employed a model created in the ANSYS v19.0 software. The skull with the temporomandibular joint (TMJ) from the Grabcad website was used as the geometric mandibular model. We attempted to simulate the stresses developed in the mandible by impact forces. The amount of force (F) corresponded to the fall of a five-kilogram body (the head), from a height of two meters (F = 6666.7 N). The impact force was applied perpendicular to an arbitrary surface of an area of 10−3 m2. Impact on the chin region and lateral impact on the mandible, from the basilar edge to the gonion were examined. The investigated clinical situations were mandibular complete dentition; jaw with missing mandibular molars; missing third molar and first and second premolars; missing canine, third molar, first and second premolars, and complete edentation. In a normal bite, the highest stress was on the TMJ area. In case of impact on the chin, in complete edentation, a mandibular fracture occurred; in case of impact on the gonion, all stress values exceed the limit value above which the mandible in the condyle area may fracture.

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An epidemiologic retrospective study of maxillofacial traumatology in the elderly

Cited by 6 publications

References 24 publications

World trends in publication for maxillofacial and dental trauma in the elderly

World trends in publication for maxillofacial and dental trauma in the elderly

The effect of frontal trauma on the edentulous mandible with four different interforaminal implant-prosthodontic anchoring configurations. A 3D finite element analysis

Three-Dimensional Finite Element Analysis on Mandibular Biomechanics Simulation under Normal and Traumatic Conditions

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