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Influence of the impacted mandibular third molars on fractures of the mandibular angle and condyle – A prospective clinical study

Identifieur interne : 002462 ( Pmc/Corpus ); précédent : 002461; suivant : 002463

Influence of the impacted mandibular third molars on fractures of the mandibular angle and condyle – A prospective clinical study

Auteurs : Arunesh Tiwari ; Jeevan Lata ; Madan Mishra

Source :

RBID : PMC:5064976

Abstract

Aims

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.

Methods

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.

Results

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%.

Conclusion

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.


Url:
DOI: 10.1016/j.jobcr.2015.08.003
PubMed: 27761388
PubMed Central: 5064976

Links to Exploration step

PMC:5064976

Le document en format XML

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<name sortKey="Tiwari, Arunesh" sort="Tiwari, Arunesh" uniqKey="Tiwari A" first="Arunesh" last="Tiwari">Arunesh Tiwari</name>
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<nlm:aff id="aff0005">Lecturer, Department of Dentistry, Government Medical College, Jalaun (Orai), Uttar Pradesh, India</nlm:aff>
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<name sortKey="Lata, Jeevan" sort="Lata, Jeevan" uniqKey="Lata J" first="Jeevan" last="Lata">Jeevan Lata</name>
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<name sortKey="Mishra, Madan" sort="Mishra, Madan" uniqKey="Mishra M" first="Madan" last="Mishra">Madan Mishra</name>
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<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>
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<journal-title>Journal of Oral Biology and Craniofacial Research</journal-title>
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Lecturer, Department of Dentistry, Government Medical College, Jalaun (Orai), Uttar Pradesh, India</aff>
<aff id="aff0010">
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Professor and Head, Department of Oral and Maxillofacial Surgery, Government Dental College, Amritsar, Punjab, India</aff>
<aff id="aff0015">
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Reader, Department of Oral and Maxillofacial Surgery, Sardar Patel Postgraduate Institute of Dental and Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh, India</aff>
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<year>2015</year>
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<season>Sep-Dec</season>
<year>2016</year>
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<pub-date pub-type="epub">
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<month>8</month>
<year>2015</year>
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<volume>6</volume>
<issue>3</issue>
<fpage>227</fpage>
<lpage>230</lpage>
<history>
<date date-type="received">
<day>9</day>
<month>4</month>
<year>2015</year>
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<copyright-statement>© 2015 Craniofacial Research Foundation. All rights reserved.</copyright-statement>
<copyright-year>2015</copyright-year>
<copyright-holder>Craniofacial Research Foundation</copyright-holder>
</permissions>
<abstract id="abs0005">
<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>
</abstract>
<kwd-group id="kwd0005">
<title>Keywords</title>
<kwd>Mandibular third molar</kwd>
<kwd>Angle fracture</kwd>
<kwd>Condylar fracture</kwd>
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</front>
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