Influence of the impacted mandibular third molars on fractures of the mandibular angle and condyle – A prospective clinical study
Identifieur interne : 001036 ( Main/Exploration ); précédent : 001035; suivant : 001037Influence of the impacted mandibular third molars on fractures of the mandibular angle and condyle – A prospective clinical study
Auteurs : Arunesh Tiwari [Inde] ; Jeevan Lata [Inde] ; Madan Mishra [Inde]Source :
- Journal of Oral Biology and Craniofacial Research [ 2212-4268 ] ; 2015.
Abstract
This study was set out to evaluate the relationship between the presence and absence of unerupted mandibular third molar and fracture of mandibular angle/condyle, and to analyse if prophylactic removal of symptom-free unerupted mandibular third molar is beneficial.
Hundred patients of mandible fracture were selected randomly irrespective of age, sex, caste, creed and socio-economic status. Data were collected from the patients on the basis of history, clinical examination and radiographs for the following information: age, sex, aetiology of fracture, presence and status of the mandibular third molar and location of mandible fracture.
In group A (partially/completely unerupted mandibular 3rd molar), the incidence of angle and condylar fracture was 44.44% and 13.33%, respectively, whereas in group B (fully erupted/missing mandibular third molar), the incidence of angle fracture was 14.45% and the incidence of condylar fractures was 31.77%.
Practice of prophylactic removal of mandibular third molar and resultant strengthening of angle region should be reconsidered, as it increases the risk of fracture at condylar region which is difficult to treat and associated with more morbidity.
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DOI: 10.1016/j.jobcr.2015.08.003
PubMed: 27761388
PubMed Central: 5064976
Affiliations:
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wicri:level="1"><nlm:aff id="aff0010">Professor and Head, Department of Oral and Maxillofacial Surgery, Government Dental College, Amritsar, Punjab, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Professor and Head, Department of Oral and Maxillofacial Surgery, Government Dental College, Amritsar, Punjab</wicri:regionArea><wicri:noRegion>Punjab</wicri:noRegion></affiliation></author><author><name sortKey="Mishra, Madan" sort="Mishra, Madan" uniqKey="Mishra M" first="Madan" last="Mishra">Madan Mishra</name><affiliation wicri:level="1"><nlm:aff id="aff0015">Reader, Department of Oral and Maxillofacial Surgery, Sardar Patel Postgraduate Institute of Dental and Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Reader, Department of Oral and Maxillofacial Surgery, Sardar Patel Postgraduate Institute of Dental and Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh</wicri:regionArea><wicri:noRegion>Uttar Pradesh</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Oral Biology and Craniofacial Research</title><idno type="ISSN">2212-4268</idno><idno type="eISSN">2212-4276</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Aims</title><p>This study was set out to evaluate the relationship between the presence and absence of unerupted mandibular third molar and fracture of mandibular angle/condyle, and to analyse if prophylactic removal of symptom-free unerupted mandibular third molar is beneficial.</p></sec><sec><title>Methods</title><p>Hundred patients of mandible fracture were selected randomly irrespective of age, sex, caste, creed and socio-economic status. Data were collected from the patients on the basis of history, clinical examination and radiographs for the following information: age, sex, aetiology of fracture, presence and status of the mandibular third molar and location of mandible fracture.</p></sec><sec><title>Results</title><p>In group A (partially/completely unerupted mandibular 3rd molar), the incidence of angle and condylar fracture was 44.44% and 13.33%, respectively, whereas in group B (fully erupted/missing mandibular third molar), the incidence of angle fracture was 14.45% and the incidence of condylar fractures was 31.77%.</p></sec><sec><title>Conclusion</title><p>Practice of prophylactic removal of mandibular third molar and resultant strengthening of angle region should be reconsidered, as it increases the risk of fracture at condylar region which is difficult to treat and associated with more morbidity.</p></sec></div></front></TEI><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Tiwari, Arunesh" sort="Tiwari, Arunesh" uniqKey="Tiwari A" first="Arunesh" last="Tiwari">Arunesh Tiwari</name></noRegion><name sortKey="Lata, Jeevan" sort="Lata, Jeevan" uniqKey="Lata J" first="Jeevan" last="Lata">Jeevan Lata</name><name sortKey="Mishra, Madan" sort="Mishra, Madan" uniqKey="Mishra M" first="Madan" last="Mishra">Madan Mishra</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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