Immediate and late mandibular fractures after third molar removal

Libersa, Philippe; Roze, David; Cachart, Thierry; Libersa, Jean-Claude

doi:10.1053/joms.2002.29811

Cited by 91 publications

(91 citation statements)

References 8 publications

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“…After a reading of the articles had been performed for verification of the inclusion criteria, 11 articles were selected for the present review (Table 1). No literature reviews (14), mechanical assays with computer simulation (15), or metaanalyses (11) presenting a type of study or approach different from that evaluated in the present study (2,(16)(17)(18)(19)(20) and that did not define angle fracture (21) were selected. Among the articles selected, those presenting some type of sample limitation, for example, including a specific group of individuals (22,23), those not differentiating between erupted and absent third molars (24), and those including samples previously used in other studies (9,10,25) were excluded, with only studies remaining that clearly reported the data of the sample (8).…”

Section: Methodsmentioning

confidence: 99%

“…The mandible is the bone most susceptible to trauma in the facial region because of its more projected position in the facial skeleton (1)(2)(3), with an estimated frequency of 11.5 cases per 100,000 individuals/year. Individuals aged 16 to 30 years account for 50.2% of these fractures and mandibular angle fractures correspond to 40% of these cases.…”

Section: Introductionmentioning

confidence: 99%

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Do third molars weaken the mandibular angle?

Tp¹,

Ec²,

Ic³

et al. 2011

Med Oral

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Objective: The purpose of this study is to estimate how is the magnitude of the impact of a mandibular third molar on the mandibular angle stiffness. Study Design: It was performed a literature search on whole MEDLINE and LILACS data base to find articles that match the following inclusion criteria: cohort studies presenting data on patients with mandibular fractures and third molars; that had a similar angle fracture definition; and that present data available to be cross-classified in a statistic analysis. Results: The sample was composed by 4 studies, involving 2533 patients from USA, Nigeria, Germany and Jordan, evaluated between 1976 and 2001. The analysis of the sample shows a relative risk for a mandibula to fracture, comparing patients with and without third molars, ranging from 1,18 to 2,25. The data of the sample was grouped because of the homogeneity of the articles methods. The estimated relative risk across the 4 studies was 1,94 (95% CI 1,6 -2,35). Conclusions: The presence of a third molar may double the risk of an angle fracture of the mandible to occur. Even with this data, the present study cannot support conditions related to the third molar that may affect this impact. Further studies are necessary to discuss the true indication of removal of these teeth as a prophylactic measure in population groups more predisposed to fracture.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do third molars weaken the mandibular angle?

Tp¹,

Ec²,

Ic³

et al. 2011

Med Oral

View full text Add to dashboard Cite

show abstract

“…Os benefícios advindos da remoção preventiva são superados pela elevada morbidade que o ato cirúrgico representa, devido a contraindicações relativas. Dentre elas, a idade do paciente, a condição médica comprometida e a proximidade ou contato com estruturas nobres 12 14 . Há uma diminuição das possibilidades de problemas associados aos dentes inclusos após o final da força de erupção, pois o elemento dentário tende a se fixar em uma posição.…”

Section: Figuraunclassified

Fratura mandibular associado à remoção de terceiro molar inferior: revisão de literatura

Lima¹,

Figueiredo²,

Momesso³

et al. 2017

Arch Health Invest

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ResumoA remoção dos terceiros molares inferiores é um procedimento frequente nas clínicas e consultórios odontológicos. Para remoção destes elementos o profissional deve conhecer os possíveis acidentes ou complicações. A fratura mandibular durante ou após este procedimento é uma complicação que pode ser evitada com o auxílio de exames de imagens adequados e técnica cirúrgica bem executada. Os procedimentos cirúrgicos realizados para remoção destes dentes muitas vezes requerem osteotomias e odontosecção com brocas cirúrgicas e o uso de alavancas, sendo que o mal uso de ambas, associado ao padrão de inclusão geram fragilidade do osso mandibular aumentando a possibilidade de fratura no trans ou pós-operatório. O objetivo deste trabalho foi revisar a literatura sobre os aspectos clínicos e tratamentos realizados para restauração das fraturas mandibulares durante ou após a remoção dos terceiros molares inferiores. Concluímos que a fratura mandibular durante ou após a extração dos terceiros molares inferiores, embora rara, é uma complicação complexa que pode ocorrer durante a aplicação de forças excessivas para remoção do elemento dental ou no pós-operatório durante a mastigação, principalmente nas três primeiras semanas. Descritores: Cirurgia Bucal; Fraturas Mandibulares; Terapêutica. AbstractThe removal of third molars is a common procedure in clinics and dental offices. For removal of these elements the surgeon must know the possible accidents or complications. The mandibular fracture during or after this procedure is a complication which should be avoided with the aid of appropriate imaging and surgical technique performed well. The surgical procedures performed to remove these teeth often require osteotomies and odontosection with surgical drills and the use of levers. However, the misuse of both, associated with the inclusion pattern, generate fragility of the mandibular bone increasing the possibility of fracture in the trans or post -operation. The aim of this study was to review the literature on the clinical aspects and treatment provided for restoration of mandibular fractures during or after removal of third molars. We conclude that the mandibular fracture during or after extraction of lower third molars, although rare, is a complex complication that can occur during the application of excessive force to remove the dental element or postoperatively during mastication, especially the first three weeks. Descriptors: Surgery, Oral; Mandibular Fractures; Therapeutics. ResumenLa extracción de los terceros molares es un procedimiento común en las clínicas y consultorios dentales. Para la eliminación de estos elementos técnicos deben conocer los posibles accidentes o complicaciones. La fractura mandibular durante o después de este procedimiento es una complicación que debe evitarse con la ayuda de formación de imágenes adecuadas y técnica quirúrgica realizada también. Los procedimientos quirúrgicos para la eliminación de estos dientes a menudo requieren osteotomías y odontosección con fresas quirúrgicas y el uso ...

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“…Aus einer Umfrage unter Mund-, Kiefer-und Gesichtschirurgen in Frankreich ermittelten Libersa et al [17] auf der Basis von rund 750.000 Weisheitszahnentfernungen eine Inzidenz von Kieferwinkelfrakturen um 0,0049%. Das Verhältnis intraoperativer zu postoperativen Frakturen lag in etwa bei 3:2.…”

Section: Frakturen Durch Weisheitszahnentfernungunclassified

Weisheitszahnentfernung

Kunkel

2009

MKG-Chirurg

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Immediate and late mandibular fractures after third molar removal

Cited by 91 publications

References 8 publications

Do third molars weaken the mandibular angle?

Do third molars weaken the mandibular angle?

Fratura mandibular associado à remoção de terceiro molar inferior: revisão de literatura

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