Morbidity associated with incompletely erupted third molars in the line of mandibular fractures

Rubin, Mitchell M.; Koll, Timothy J.; Sadoff, Rory S.

doi:10.1016/0278-2391(90)90286-b

Cited by 34 publications

(11 citation statements)

References 3 publications

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“…Nevertheless, the evidence for routine removal of third molars in the line of fracture is unclear. Rubin et al (12) also showed that third molar removal with open reduction and internal fixation gave fewer post-operative complications. In contrast Gerbino et al (13) showed a higher incidence of complications when the third molars were removed.…”

Section: Discussionmentioning

confidence: 97%

A Two Year Review Of The Treatment And Complications Of Mandibular Angle Fractures

Dhariwal¹,

Gibbons²,

Murphy³

et al. 2002

J R Army Med Corps

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A review of all patients with treated mandibular angle fractures at a district general hospital, over a two year period, was undertaken. Forty one consecutive patients with 43 mandibular angle fractures were identified. Thirty eight fractures were treated by open reduction and internal fixation with miniplates and 5 by intermaxillary fixation (IMF). Fractures treated with miniplates were reduced under direct vision to give an anatomical reduction without using temporary intermaxillary fixation. The shortened operative time together with the prompt administration of intravenous antibiotics following injury and rapid treatment of fractures after admission resulted in a low complication rate of 7.3% of patients requiring a subsequent surgical procedure. Although IMF has an important role to play in the general treatment of facial fractures, we suggest that there is a place for single miniplate fracture fixation without the use of temporary IMF when treating simple angle fractures. As this technique is quick and has a low complication rate its use in military situations should be considered.

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Section: Discussionmentioning

confidence: 97%

A Two Year Review Of The Treatment And Complications Of Mandibular Angle Fractures

Dhariwal¹,

Gibbons²,

Murphy³

et al. 2002

J R Army Med Corps

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“…In the preantibiotic era, teeth in the fracture line were routinely extracted; however, it is now recognized that interfragmentary motion has a much greater role in promoting infection (5). More liberal strategies favoring tooth retention have been made possible with the routine use of preoperative antibiotics and rigid fixation techniques (5,66,67). Although teeth can serve as a portal for infection, complications may be greater when the tooth is extracted than when it is left in place (7,45).…”

Section: Teeth In the Line Of Fracturementioning

confidence: 99%

“…Although teeth can serve as a portal for infection, complications may be greater when the tooth is extracted than when it is left in place (7,45). Hematoma within the tooth socket after surgery can act as a culture medium and result in wound infection (45,67). Teeth in the line of fracture, even when they are compromised, may aid in proper occlusal alignment and prevent telescoping of fragments if they are initially retained (45,65,68).…”

Section: Teeth In the Line Of Fracturementioning

confidence: 99%

“…Teeth in the line of fracture, even when they are compromised, may aid in proper occlusal alignment and prevent telescoping of fragments if they are initially retained (45,65,68). The radiologic findings favoring extraction include root fracture, gross periodontal or periapical disease, large caries, and/or a luxated tooth that may interfere with fracture reduction (27,28,65,67,69,70)-although luxated teeth can sometimes be repositioned and splinted with arch bars. Endodontic therapy can be used to preserve devitalized teeth; thus, tooth luxation, root exposure, and periapical lesions are not absolute indications for extraction (45).…”

Section: Teeth In the Line Of Fracturementioning

confidence: 99%

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Multidetector CT of Mandibular Fractures, Reductions, and Complications: A Clinically Relevant Primer for the Radiologist

Dreizin¹,

Nam²,

Tirada³

et al. 2016

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After the nasal bones, the mandible is the second most common site of facial fractures, and mandibular fractures frequently require open reduction. In the trauma injury setting, multidetector computed tomography (CT) has become the cornerstone imaging modality for determining the most appropriate treatment management, fixation method, and surgical approach. Multidetector CT is also used to assess the adequacy of the reduction and evaluate potential complications in the postoperative period. For successful restoration of the mandible's form and function, as well as management of posttraumatic and postoperative complications, reconstructive surgeons are required to have a detailed understanding of mandibular biomechanics, occlusion, and anatomy. To provide added value in the diagnosis, treatment planning, and follow-up of mandibular fractures, radiologists should be aware of these concepts. Knowledge of the techniques commonly used to achieve occlusal and anatomic reduction and of the rationale behind the range of available treatment options for different injury patterns-from isolated and nondisplaced fractures to multisite and comminuted fractures-also is essential. This article focuses on the use of multidetector CT for pre- and postoperative evaluation of mandibular fractures and outlines fundamental concepts of diagnosis and management-beginning with an explanation of common fracture patterns and their biomechanical underpinnings, and followed by a review of the common postoperative appearances of these fractures after semirigid and rigid fixation procedures. Specific considerations regarding fractures in different regions of the tooth-bearing and non-tooth-bearing mandible and the unique issues pertaining to the edentulous atrophic mandible are reviewed, and key features that distinguish major from minor complications are described. (©)RSNA, 2016.

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“…The presence of a third molar associated with a fracture through the angle of the mandible increases the risk of infection irrespective of whether or not the tooth is erupted or impacted, or whether or not the tooth is removed during surgery (Ellis 2002). For closed treatment, there seems to be no difference in the rate of infection irrespective of whether the tooth was removed or left in place (Rubin et al 1990;Anastassov and Vuvakis 2000).…”

Section: Literature Reviewmentioning

confidence: 99%

Comparison of an intra-oral approach using a contra-angle hand piece with the transbuccal technique for mandibular angle fracture repair

deWaal

2011

International Journal of Oral and Maxillofacial Surgery

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Morbidity associated with incompletely erupted third molars in the line of mandibular fractures

Cited by 34 publications

References 3 publications

A Two Year Review Of The Treatment And Complications Of Mandibular Angle Fractures

A Two Year Review Of The Treatment And Complications Of Mandibular Angle Fractures

Multidetector CT of Mandibular Fractures, Reductions, and Complications: A Clinically Relevant Primer for the Radiologist

Comparison of an intra-oral approach using a contra-angle hand piece with the transbuccal technique for mandibular angle fracture repair

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