DOI QR코드

DOI QR Code

A Clinical Study of Mandibular Angle Fracture

  • Yoon, Wook-Jae (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Oh, Ji-Su (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • You, Jae-Seek (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Lim, Kyung-Seop (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Shin, Seung-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University) ;
  • Kim, Cheol-Man (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University)
  • Received : 2014.05.24
  • Accepted : 2014.09.26
  • Published : 2014.09.30

Abstract

Purpose: To establish management protocol for mandibular angle fracture, we describe pertinent factors including cause, impacted third molar and recent treatment tendency. Methods: We examined the records of 62 patients who had unilateral mandibular angle fracture. Sixty patients who had open reduction surgery were examined at postoperative weeks 1, 4, 8, 12, and 28. Results: Left mandibular angle fracture is frequent in younger males. Presence of the mandibular third molar can increase fracture risk. Because of attached muscle, favorable fractures occurred primarily in the mandibular angle area. Conclusion: Extracting the mandibular third molar can prevent angle fractures, and open reduction with only one plate adaptation is generally the proper treatment method for mandibular angle fracture.

Keywords

References

  1. Tevepaugh DB, Dodson TB. Are mandibular third molars a risk factor for angle fractures? A retrospective cohort study. J Oral Maxillofac Surg 1995;53:646-9; discussion 649-50. https://doi.org/10.1016/0278-2391(95)90160-4
  2. Seemann R, Schicho K, Wutzl A, et al. Complication rates in the operative treatment of mandibular angle fractures: a 10-year retrospective. J Oral Maxillofac Surg 2010;68:647-50. https://doi.org/10.1016/j.joms.2009.07.109
  3. Meisami T, Sojat A, Sandor GK, Lawrence HP, Clokie CM. Impacted third molars and risk of angle fracture. Int J Oral Maxillofac Surg 2002;31:140-4. https://doi.org/10.1054/ijom.2001.0215
  4. Singh S, Fry RR, Joshi A, Sharma G, Singh S. Fractures of angle of mandible: a retrospective study. J Oral Biol Craniofac Res 2012;2:154-8. https://doi.org/10.1016/j.jobcr.2012.10.001
  5. Lee JT, Dodson TB. The effect of mandibular third molar presence and position on the risk of an angle fracture. J Oral Maxillofac Surg 2000;58:394-8; discussion 399. https://doi.org/10.1016/S0278-2391(00)90921-2
  6. Ellis E 3rd. Treatment methods for fractures of the mandibular angle. Int J Oral Maxillofac Surg 1999;28:243-52. https://doi.org/10.1016/S0901-5027(99)80152-0
  7. Schwimmer A, Stern R, Kritchman D. Impacted third molars: a contributing factor in mandibular fractures in contact sports. Am J Sports Med 1983;11:262-6. https://doi.org/10.1177/036354658301100415
  8. Reitzik M, Lownie JF, Cleaton-jones P, Austin J. Experimental fractures of monkey mandibles. Int J Oral Surg 1978;7:100-3. https://doi.org/10.1016/S0300-9785(78)80054-4
  9. Patil PM. Lower third molar in the line of mandibular angle fractures treated with stable internal fixation: to remove or retain? J Oral Maxillofac Surg Med Pathol 2013;25:115-8. https://doi.org/10.1016/j.ajoms.2012.05.015
  10. Bobrowski AN, Sonego CL, Chagas Junior OL. Postoperative infection associated with mandibular angle fracture treatment in the presence of teeth on the fracture line: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 2013;42:1041-8. https://doi.org/10.1016/j.ijom.2013.02.021
  11. Duan DH, Zhang Y. Does the presence of mandibular third molars increase the risk of angle fracture and simultaneously decrease the risk of condylar fracture? Int J Oral Maxillofac Surg 2008;37:25-8. https://doi.org/10.1016/j.ijom.2007.07.010
  12. Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 1978;6:14-21. https://doi.org/10.1016/S0301-0503(78)80062-9
  13. Choi BH, Kim HJ, Kim MK, et al. Management of mandibular angle fractures using the mandibular angle reduction forceps. Int J Oral Maxillofac Surg 2005;34:257-61. https://doi.org/10.1016/j.ijom.2004.05.009
  14. Siddiqui A, Markose G, Moos KF, McMahon J, Ayoub AF. One miniplate versus two in the management of mandibular angle fractures: a prospective randomised study. Br J Oral Maxillofac Surg 2007;45:223-5. https://doi.org/10.1016/j.bjoms.2006.08.016
  15. Danda AK. Comparison of a single noncompression miniplate versus 2 noncompression miniplates in the treatment of mandibular angle fractures: a prospective, randomized clinical trial. J Oral Maxillofac Surg 2010;68:1565-7. https://doi.org/10.1016/j.joms.2010.01.011
  16. Schaaf H, Kaubruegge S, Streckbein P, Wilbrand JF, Kerkmann H, Howaldt HP. Comparison of miniplate versus lag-screw osteosynthesis for fractures of the mandibular angle. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111: 34-40. https://doi.org/10.1016/j.tripleo.2010.03.043
  17. Esen A, Ataoglu H, Gemi L. Comparison of stability of titanium and absorbable plate and screw fixation for mandibular angle fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:806-11. https://doi.org/10.1016/j.tripleo.2008.05.034

Cited by

  1. Morbidity of teeth in mandibular fracture lines-A retrospective study vol.34, pp.4, 2018, https://doi.org/10.1111/edt.12413
  2. Study of fixation of a mandibular plate for favourable fractures of the mandibular angle: numerical predictions vol.58, pp.6, 2020, https://doi.org/10.1016/j.bjoms.2020.03.009