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Fractures of the mandible in the aging population

Identifieur interne : 001333 ( Istex/Curation ); précédent : 001332; suivant : 001334

Fractures of the mandible in the aging population

Auteurs : Tarkan Sidal [États-Unis] ; Donald A. Curtis Dmd [États-Unis]

Source :

RBID : ISTEX:2775A976FC7BB1FCC6636E0A9B5F78C9300BB06F

Descripteurs français

English descriptors

Abstract

Maxillofacial trauma in elderly patients represents a significant social concern, as it uses one‐third of all medical resources allocated to trauma care. Studies have shown the incidence of maxillofacial trauma in the elderly population has been increasing over the past 30 years. A common injury in patients who present with maxillofacial trauma is fracture of the mandible. The etiology, demographics, and management of elderly patients with mandibular fractures differ from younger cohorts. Falls are the primary reason for mandibular fracture in the elderly with 30% of individuals over 65 years of age falling each year. This increases to more than 40% in persons 80 years and older. Elderly persons with atrophic mandible have less osteogenic capability and reduced blood flow, and may have a complex medical history, so that management of a fracture of the mandible may require special considerations. The purpose of this review paper was to examine demographic patterns and the etiology of mandibular fractures in the elderly; and to evaluate treatment strategies.

Url:
DOI: 10.1111/j.1754-4505.2006.tb01715.x

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ISTEX:2775A976FC7BB1FCC6636E0A9B5F78C9300BB06F

Le document en format XML

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<term>Atrophic mandible</term>
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<term>Bone screws</term>
<term>Capillary fragility</term>
<term>Complete denture</term>
<term>Craniomaxillofacial trauma</term>
<term>Demographic patterns</term>
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<term>Edentulous</term>
<term>Edentulous mandible</term>
<term>Edentulous patient</term>
<term>Elderly patients</term>
<term>Elderly persons</term>
<term>Elderly population</term>
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<term>Fixation</term>
<term>Fracture</term>
<term>Higher incidence</term>
<term>Internal fixation</term>
<term>Less osteogenic capability</term>
<term>Life expectancy</term>
<term>Mandible</term>
<term>Mandibular</term>
<term>Mandibular fracture</term>
<term>Mandibular fractures</term>
<term>Maxillofac</term>
<term>Maxillofacial</term>
<term>Maxillofacial injuries</term>
<term>Maxillofacial surgery</term>
<term>Maxillofacial trauma</term>
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<term>Craniomaxillofacial trauma</term>
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<term>Edentulous mandible</term>
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<term>Elderly patients</term>
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<term>Etiology</term>
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<term>Higher incidence</term>
<term>Internal fixation</term>
<term>Less osteogenic capability</term>
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<term>Mandibular fractures</term>
<term>Maxillofac</term>
<term>Maxillofacial</term>
<term>Maxillofacial injuries</term>
<term>Maxillofacial surgery</term>
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<div type="abstract" xml:lang="en">Maxillofacial trauma in elderly patients represents a significant social concern, as it uses one‐third of all medical resources allocated to trauma care. Studies have shown the incidence of maxillofacial trauma in the elderly population has been increasing over the past 30 years. A common injury in patients who present with maxillofacial trauma is fracture of the mandible. The etiology, demographics, and management of elderly patients with mandibular fractures differ from younger cohorts. Falls are the primary reason for mandibular fracture in the elderly with 30% of individuals over 65 years of age falling each year. This increases to more than 40% in persons 80 years and older. Elderly persons with atrophic mandible have less osteogenic capability and reduced blood flow, and may have a complex medical history, so that management of a fracture of the mandible may require special considerations. The purpose of this review paper was to examine demographic patterns and the etiology of mandibular fractures in the elderly; and to evaluate treatment strategies.</div>
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