Identifying the risk factors causing iatrogenic mandibular fractures associated with exodontia: a systemic meta-analysis of 200 cases from 1953 to 2015

Joshi, Ajit; Goel, Manu; Thorat, Ashutosh

doi:10.1007/s10006-016-0579-9

Cited by 15 publications

(53 citation statements)

References 26 publications

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“…Some authors reported on this ratio exceeding 50% to be associated with a higher risk of mandible fracture (6,21,22). The work of Joshi et al relates 54% of iatrogenic mandibular fractures to the removal of lower third molars fully impacted in bone (6). In our study, the ratio of tooth height to the ratio of remaining bone height was more than 50% in 5 patients, i.e., 62.5% of the study subjects.…”

Section: Resultsmentioning

confidence: 39%

“…In 4 cases, the pericoronary sac enlarged by more than 2 mm was visible on the radiograph. Some authors reported an unequal side distribution of iatrogenic mandibular fractures with a higher incidence on the left side (6,17,19,20). This phenomenon may be explained due to more difficult access to the operating field for surgeons with right-hand dominance, which is more frequent in the population.…”

Section: Resultsmentioning

confidence: 99%

“…According to Izuka et al, the percentage ratio comparing the height of the lower third molar to the remaining height of the mandibular bone measured on the orthopantomogram ranges between 44-84% (12). Some authors reported on this ratio exceeding 50% to be associated with a higher risk of mandible fracture (6,21,22). The work of Joshi et al relates 54% of iatrogenic mandibular fractures to the removal of lower third molars fully impacted in bone (6).…”

Section: Resultsmentioning

confidence: 99%

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Iatrogenic Fracture of the Lower Jaw: A Rare Complication of Lower Molar Extraction

Mottl

Kunderová

Slezák

et al. 2021

Acta Med. (Hradec Kralove, Czech Repub.)

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Iatrogenic mandible fracture is a rare complication of a tooth extraction with an incidence between 0.0033–0.0034%. This study retrospectively analyzes a total of 8 patients who underwent lower molar extraction associated with mandible fracture during tooth removal in the period from April 2006 to March 2019. The assessed parameters were age and sex of patients, method of tooth extraction, side distribution of fracture, type of extracted tooth, the position of a lower third molar, presence of bone pathological lesion formed in connection with a tooth, displacement of bone fragments, and sensory impairment in the innervation area of the mental nerve. The position and impaction of the lower third molars were evaluated according to Pell and Gregory’s classification and Winter’s classification. One fracture was left-sided, and 7 fractures were right-sided. In 6 cases, Winter’s extraction elevator was used. In 7 patients, the mandible fracture was treated surgically by performing stable osteosynthesis with the plates and screws. One patient was treated conservatively. This work analyzes the causes of iatrogenic mandible fractures and provides recommendations to reduce the risk of their occurrence.

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Section: Resultsmentioning

confidence: 39%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Iatrogenic Fracture of the Lower Jaw: A Rare Complication of Lower Molar Extraction

Mottl

Kunderová

Slezák

et al. 2021

Acta Med. (Hradec Kralove, Czech Repub.)

View full text Add to dashboard Cite

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“…Out of those 200 cases, 136 (78%) were related to lower third molar extraction. Interestingly, intraoperative and postoperative fractures (including not only the third molar but also other teeth) were reported as 25 and 75%, respectively (Joshi, Goel, & Thorat, 2016). More than 75% of postoperative fractures occurred 2 weeks after extraction or later.…”

Section: Complicationsmentioning

confidence: 99%

“…More than 75% of postoperative fractures occurred 2 weeks after extraction or later. The age distribution peaked at 40–49 years (29%) and the male/female ratio was 2.2:1 (including all fractures) (Joshi et al, 2016).…”

Section: Complicationsmentioning

confidence: 99%

Comprehensive review of lower third molar management: A guide for improved informed consent

et al. 2020

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Lower third molar removal is the most commonly performed dental surgical procedure. Nevertheless, it is difficult to ensure that all the informed consent forms given to patients are based on the best evidence as many newer publications could change the conclusions of previous research. Therefore, the goal of this review article is to cover existing meta‐analyses, randomized control trials, and related articles in order to collect data for improved and more current informed consent.

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Image-guided removal of deeply impacted mandibular third molar using a navigation system

Iwai

Sugiyama

Ohashi

et al. 2020

Journal of Oral and Maxillofacial Surgery, Medicine, and Pathol

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Identifying the risk factors causing iatrogenic mandibular fractures associated with exodontia: a systemic meta-analysis of 200 cases from 1953 to 2015

Cited by 15 publications

References 26 publications

Iatrogenic Fracture of the Lower Jaw: A Rare Complication of Lower Molar Extraction

Iatrogenic Fracture of the Lower Jaw: A Rare Complication of Lower Molar Extraction

Comprehensive review of lower third molar management: A guide for improved informed consent

Image-guided removal of deeply impacted mandibular third molar using a navigation system

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