Browse > Article

Comparative Evaluation of Infection Rate according to Extraction of Teeth in the Line of Mandibular Angle Fractures Treated with Stable Internal Fixation  

Kim, Jin-Ha (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)
Moon, Seong-Yong (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)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.33, no.1, 2011 , pp. 32-35 More about this Journal
Abstract
Purpose: Mandibular angle fractures constitute approximately 30% of mandibular fractures, and the mandibular third molar is usually in line with the fracture. This study evaluated the relationship between the extraction of a tooth in line with a mandibular angle fracture and the infection rate. Methods: One hundred and forty seven patients with mandibular angle fractures containing a tooth in line with the fracture from 2005 to 2008 were enrolled in this study. The patients were divided into two groups based on an extraction, and the infection rates were evaluated in both groups. Results: An extraction was performed in 70 patients (47.6%) and postoperative infections occurred in 14 patients (9.5%). Six (8.6%) of the 70 patients in the extraction group and 8 (10.4%) of the 77 patients in the non-extraction group had an infection. There was no significant difference between the two groups (P=0.708). Conclusion: These results show that there is no increased risk of postoperative complications when a tooth is present
Keywords
Mandibular fractures; Complications; Infection;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Gerbino G, Tarello F, Fasolis M, De Gioanni PP. Rigid fixation with teeth in the line of mandibular fractures. Int J Oral Maxillofac Surg 1997;26:182-6.
2 Shetty V, Freymiller E. Teeth in the line of fracture: a review. J Oral Maxillofac Surg 1989;47:1303-6.   DOI   ScienceOn
3 Thaller SR, Mabourakh S. Teeth located in the line of mandibular fracture. J Craniofac Surg 1994;5:16-9.   DOI   ScienceOn
4 Hamill JP, Owsley JQ Jr, Kauffman RR, Blackfield HM. The treatment of fractures of the mandible. Calif Med 1964;101: 184-7.
5 Rubin MM, Koll TJ, Sadoff RS. Morbidity associated with incompletely erupted third molars in the line of mandibular fractures. J Oral Maxillofac Surg 1990;48:1045-7.   DOI   ScienceOn
6 Haug RH, Schwimmer A. Fibrous union of the mandible: a review of 27 patients. J Oral Maxillofac Surg 1994;52:832-9.   DOI   ScienceOn
7 Kahnberg KE, Ridell A. Prognosis of teeth involved in the line of mandibular fractures. Int J Oral Surg 1979;8:163-72.   DOI
8 Freitag V, Landau H. Healing of dentate or edentulous mandibular fractures treated with rigid or semirigid plate fixation - an experimental study in dogs. J Craniomaxillofac Surg 1996;24:83-7.
9 Marker P, Eckerdal A, Smith-Sivertsen C. Incompletely erupted third molars in the line of mandibular fractures. A retrospective analysis of 57 cases. Oral Surg Oral Med Oral Pathol 1994;78:426-31.   DOI   ScienceOn
10 Niederdellmann H, Schilli W, Duker J, Akuamoa-Boateng E. Osteosynthesis of mandibular fractures using lag screws. Int J Oral Surg 1976;5:117-21.   DOI
11 Niederdellmann H, Schilli W. Traction screw osteosynthesis in the treatment of fracture of the angle of mandible (author's transl). Aktuelle Traumatol 1980;10:105-8.
12 Niederdellmann H, Akuamoa-Boateng E, Uhlig G. Lag-screw osteosynthesis: a new procedure for treating fractures of the mandibular angle. J Oral Surg 1981;39:938-40.
13 Metin M, Sener I, Tek M. Impacted teeth and mandibular fracture. Eur J Dent 2007;1:18-20.
14 Ellis E 3rd. Outcomes of patients with teeth in the line of mandibular angle fractures treated with stable internal fixation. J Oral Maxillofac Surg 2002;60:863-5.   DOI   ScienceOn
15 Iizuka T, Tanner S, Berthold H. Mandibular fractures following third molar extraction. A retrospective clinical and radiological study. Int J Oral Maxillofac Surg 1997;26:338-43.   DOI   ScienceOn
16 Punjabi AP, Thaller SR. Late complications of mandibular fractures. Operative Techniques in Plastic and Reconstructive Surgery 1998;5:266-74.   DOI   ScienceOn
17 Safdar N, Meechan JG. Relationship between fractures of the mandibular angle and the presence and state of eruption of the lower third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:680-4.   DOI   ScienceOn
18 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.   DOI   ScienceOn
19 Champy M, Lodde JP. Mandibular synthesis. Placement of the synthesis as a function of mandibular stress. Rev Stomatol Chir Maxillofac 1976;77:971-6.
20 Malanchuk VO, Kopchak AV. Risk factors for development of infection in patients with mandibular fractures located in the tooth-bearing area. J Craniomaxillofac Surg 2007;35:57-62.   DOI   ScienceOn
21 James RB, Fredrickson C, Kent JN. Prospective study of mandibular fractures. J Oral Surg 1981;39:275-81.
22 Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 1990;48:926-32.   DOI   ScienceOn
23 Ellis E 3rd. Treatment methods for fractures of the mandibular angle. Int J Oral Maxillofac Surg 1999;28:243-52.   DOI   ScienceOn
24 Wagner WF, Neal DC, Alpert B. Morbidity associated with extraoral open reduction of mandibular fractures. J Oral Surg 1979;37:97-100.
25 Chuong R, Donoff RB, Guralnick WC. A retrospective analysis of 327 mandibular fractures. J Oral Maxillofac Surg 1983;41:305-9.   DOI   ScienceOn
26 Iizuka T, Lindqvist C, Hallikainen D, Paukku P. Infection after rigid internal fixation of mandibular fractures: a clinical and radiological study. J Oral Maxillofac Surg 1991;49:585-93.   DOI   ScienceOn
27 Anderson T, Alpert B. Experience with rigid fixation of mandibular fractures and immediate function. J Oral Maxillofac Surg 1992;50:555-60.   DOI   ScienceOn
28 Jacobs JS. Commentary on teeth located in the line of mandibular fracture. J Craniofac Surg 1994;5:20-1.   DOI   ScienceOn