Prevalence and pattern of mandibular fracture in Central India

Abstract

Introduction:The etiology and pattern of mandibular fracture vary considerably among different study populations. Despite many reports about the incidence, diagnosis and treatment of mandibular fracture there is limited knowledge about the specific type or pattern of mandibular fractures in South Asian countries. This study attempts to delineate predictable patterns of fracture based on patient demographics and mechanism of injury in central part of India.Materials and Methods:The medical records of patients with mandibular fractures treated over a 3 years period were identified and analyzed based on age, sex, mechanism of trauma, seasonal variation, drug/alcohol abuse, number and anatomic location.Results:We reviewed 464 patients having mandibular fractures with age ranging from 7 to 89 years. Male (343, 79%) to female (91, 21%) ratio was 3.7:1, significantly higher for males. The highest incidence (37.5%) of mandibular fractures was in the age group of 21–30 years. The main cause was road traffic accidents (RTAs, 68.8%) followed by falls (16.8%), assaults (11%) and other reasons (3.8%). Parasymphyseal fractures were the most frequent 331 (41.1%), followed by condyle (135) and angle (124) fractures in occurrence. Mandibular angle fractures were found mostly to be associated with assault victims.Conclusion:The mechanism of injury correlates significantly with the anatomic location of fracture and knowledge of these associations should guide the surgeons for appropriate and timely management. Because RTAs are most frequent, good traffic sense needs to be imbibed and developed by the government as well as the public.

Incidence, Aetiology and Pattern of Mandibular Fractures in Pondicherry

“…The most frequent causes of mandible fracture in our study were RTAs with 56.5%, fall with 23.2%, assault with 16% and others with 4.3%. This finding is consistent with the previous studies by Vyas et al 11 and Barde et al 12 In developing countries RTA remains the main etiology of trauma, whereas assault related injury was found to be the prime cause in developed nations. [13][14][15][16] RTA related mandibular trauma in developing countries is mainly due to deficiency in road traffic legislations, bad road condition, low driving standard, more number of vehicle use, less use of safety features such as helmets, seat belts and airbags.…”

Use of Transgingival Lag Screw Osteosynthesis in the Management of Alveolar Process Fracture

“…Lag screw osteosynthesis can be defined as the stable union of two bone fragments under pressure with the help of screws inserted in lag fashion. 3,6 The lag screw technique was first introduced to maxillofacial surgery by Brons and Boering 2 in 1970 for mandibular fractures. Ideally, the length of fracture surface should be greater or equal to the mandibular height, a condition that is satisfied in the oblique surface fractures.…”

Pattern & Management of Mandible Fracture in the Department of Maxillofacial Casualty Dhaka Dental College & Hospital: A Retro- spective Cross Sectional Study of 435 Patients

“…Mandibular fractures can involve only one site or can often involve multiple anatomic sites simultaneously. 2 The etiology and pattern of mandibular fracture vary considerably among different study populations. 2 Recent overall shift in the mechanism of injury and age distribution of patients sustaining these injuries are well-documented.…”

“…2 The etiology and pattern of mandibular fracture vary considerably among different study populations. 2 Recent overall shift in the mechanism of injury and age distribution of patients sustaining these injuries are well-documented. There is reported variability in the pattern of mandibular fractures resulting from different causes of injury, such as road traffic accidents (RTA), assaults, and falls.…”