Treatment of Fractures of the Edentulous Mandible

Levine, Paul A.; Goode, Richard L.

doi:10.1001/archotol.1982.00790510039008

Cited by 21 publications

(9 citation statements)

References 14 publications

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“…Closed reduction if applied is most suitable for fractures anterior to the molar area, posterior to the molar area any form of denture, or splint used would fail to stabilize the distal fragment. 9 Current recommendations are towards ORIF in case of these fractures: perfect reduction, direct visualization, fragment stability, and early rehabilitation are the advantages of ORIF. It is now accepted that bone stability is far more important than minimal disruption of blood flow as studies have shown good healing even in poorly vascularized bones.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the earlier attempts of bone grafting in edentulous fracture was made by onlay rib grafts which would act as a splint, vertically augment the mandible, and provide increased contact area for healing. 9…”

Section: Discussionmentioning

confidence: 99%

“…36 Some of the earlier studies arrayed a complication rate up to 20% in case of edentulous mandible fracture management. 8,9 These fractures might suffer from a high incidence of delayed union owing to the decreased central blood supply of the mandible. Levine and Krebs in their study with DCP and EDCP plates showed negligible complications in terms of delayed union.…”

Section: Discussionmentioning

confidence: 99%

“…8 A quite high success rate with compression plating was achieved by Levine 1982, Bruce 1993, and Luhr 1996. 9-11 On the other hand, Thaller 12 1993 recommended the use of smaller dimension plates. 12 Gerbino et al 13 2018 in their retrospective series advocated that load bearing fixation is the gold standard for treating these fractures.…”

Section: Introductionmentioning

confidence: 99%

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Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Bera

Tiwari

2022

Craniomaxillofacial Trauma & Reconstruction

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Study Design Retrospective chart review Objective Injury and trauma scores are the mainstay of predicting outcomes of trauma patients. ZS (Zeeshan and Simon) maxillofacial trauma score is based on 4 previous facial trauma scores and is user friendly, app-based visually coded facial trauma scoring system. Our study was designed to seek the application of an app-based ZS maxillofacial trauma score to predict the operative time, intensive care unit (ICU) need and length of stay. Methods We performed a retrospective chart review of patients who presented to a university medical college teaching hospital with maxillofacial fractures from October 2018 until October 2019. ZS maxillofacial trauma scoring app was used to calculate the ZS maxillofacial trauma severity score, which was our primary predictor variable. Our primary outcome of interest was operative time. Our secondary outcome of interest was ICU need and length of stay. Correlation analysis, linear regression and logistic regression were performed for statistical analysis. A statistical P-value of .05 was considered significant at a 95% confidence interval. Results There were 95 male and 5 female patients included in the study. The age ranged from 3 to 84 years with a mean of 30.76 (SD = 14.04). A statistically significant correlation between the ZS score and operative time ( r = 0.67, P < .001) was observed. ZS score predicted operative time ( b 1 = 7.67, P < .001) in our study sample . Increasing ZS trauma score was also significantly associated with ICU requirement ( X 2(3) = 13.682, P = .003), but the length of stay could not be predicted based on ZS score. Conclusions: ZS maxillofacial trauma score can predict the operative time, and an association was seen with the need for ICU with increasing ZS score, but could not predict the length of stay or the ICU need. It has potential for future integration with electronic health record systems.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Bera

Tiwari

2022

Craniomaxillofacial Trauma & Reconstruction

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“…1 Bilateral fractures of the edentulous mandible frequently occur from a combination of direct and indirect impact requiring surgical management. [2][3][4][5][6][7] The normal healing process of fracture is divided into 4 temporal phases: inflammatory, chondrogenic, osteogenic, and remodeling, each characterized by specific tissue differentiation events. 8 Normal healing is "bony union," in which the fractured bone end is united by new bone tissue, with anatomic reduction and fixation resulting in restoration of function and prevention of deformities.…”

Section: Introductionmentioning

confidence: 99%

Conventional Complete Denture for a Patient with Malunited Fracture of Mandible: A Case Report

Sharma¹,

Lal²,

Kaur

et al. 2013

Dental Journal of Advance Studies

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A patient with malunited fracture of mandible require preprosthic reconstructive surgery followed by implant-assisted overdentures. In this case report, conventional complete dentures were fabricated for the patient as he refused any invasive treatment. The fabrication procedure of the denture was carefully modified according to anatomical and functional situation of the patient to achieve adequate retention and stability. Complete dentures thus fabricated provided comfort and sufficient function to the patient.

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Osteosynthesis of Mandibular Fractures in the Angle Region

Strelzow¹,

Strelzow²

1983

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\The region of the angle of the mandible is one of the most frequent sites of fracture in external mandibular trauma. In 14 cases of fracture through the angle region, angled dynamic compression plates inserted through an extraoral route were used to provide rigid internal fixation. This method often obviates the need for intermaxillary fixation and suggests a technically simple technique by which direct and uncompromised healing of angle fractures with good resultant occlusion can be achieved in selected cases.We outline our current technique and the indications and limitations for using angled dynamic compression plates. (Arch Otolaryngol 1983;109:403-406) The region of the angle is generally considered to be that area of the mandibular arch that is covered by the masseter muscle and is interposed between the thicker tooth-bearing mandibular body and the thinner, angled ascending ramus region.1 With the continuing incidence of automo¬ bile and especially motorcycle acci¬ dents along with the persistent frequency of interpersonal violence, fractures through the angle region continue to comprise approximately 20% of all fractures of the mandible. In the straightforward and uncompli¬ cated cases, closed reduction of the fracture fragments followed by the Accepted for publication Sept 21, 1982. From the Louis, MO 63104 (Dr V. Strelzow).application of intermaxillary fixation is the accepted therapeutic approach.However, in selected cases of unfavor¬ able fractures with greatly displaced or overlapped segments, open reduc¬ tion may be required and some form of external fixation indicated. It is in these technically more difficult cases and in special clinical situations that the use of dynamic compression osteo¬ synthesis as a primary treatment modality may be beneficial. MATERIALS AND METHODSAt the St Louis University Medical Cen¬ ter and affiliated hospitals, 14 patients with fractures in the angle region of the mandible were treated by dynamic osteo¬ synthesis during an 18-month period (Ta¬ ble). The Osteo angled dynamic compres¬ sion plates were used along with the Synthes maxillofacial bone plating sys¬ tem.The surgical technique begins with a thorough inspection of the dentition and occlusion. Bimanual closed reduction of the fracture segments is carried out, the occlu¬ sion rechecked, and the decision made on any erupted or unerupted teeth in the fracture line. If extraction is decided on, this is carried out followed by a careful closure of the wound with a gingival advancement flap, usually from the buccal aspect. Both upper and lower teeth are brushed and the mouth copiously irrigated with bacitracin solution before being wired into occlusion by Ernst ligatures.Through an incision two-finger breadths beneath and parallel to the angle of the mandible, the masseter muscle overlaying this region is exposed, taking care not to injure the mandible branch of the facial nerve by isolating it in the upper flap. The masseter muscle is incised along its lower lateral margin and the fracture exposed in the subp...

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Treatment of Fractures of the Edentulous Mandible

Cited by 21 publications

References 14 publications

Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Current Evidence for the Management of Edentulous Atrophic Mandible Fractures: A PRISMA-SWiM Guided Review

Conventional Complete Denture for a Patient with Malunited Fracture of Mandible: A Case Report

Osteosynthesis of Mandibular Fractures in the Angle Region

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