Mandibular fracture during mandibular third molar extraction

Pre-operative planning for the extraction of mandibular third molars is of fundamental importance, particularly in patients over the age of 40 years, in whom osteotomies and odontotomies procedures must be included to prevent mandibular fractures. Conservative treatment of the mandibular fracture ha...

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Detalles Bibliográficos
Autores: Valiati, Renato, Ibrahim, Danilo, Poli, Vladimir Dourado, Heitz, Cláiton, Pagnoncelli, Rogério Miranda, Silva, Daniela Nascimento
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Institución:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
Repositorio:Repositório Institucional PUCRS
Idioma:inglés
OAI Identifier:oai:meriva.pucrs.br:10923/982
Acceso en línea:http://hdl.handle.net/10923/982
Access Level:acceso abierto
Palabra clave:MANDIBULAR FRACTURE
CONSERVATIVE TREATMENT
INTERMAXILLARY FIXATION
THIRD MOLAR EXTRACTION
FACIAL FRACTURE
ORAL SURGERY
ODONTOLOGIA
CIRURGIA BUCOMAXILOFACIAL
Descripción
Sumario:Pre-operative planning for the extraction of mandibular third molars is of fundamental importance, particularly in patients over the age of 40 years, in whom osteotomies and odontotomies procedures must be included to prevent mandibular fractures. Conservative treatment of the mandibular fracture has advantages and disadvantages, and can present excellent results when well indicated and performed. The main aim of this article is to relate a case of fracture of the mandibular angle in a 40-year old patient, as a result of third molar extraction on the right side. The patient had two fracture lines favourable to reduction, reported feeling a difference in dental occlusion and was treated with intermaxillary fixation with an Erich bar for 45 days. The follow-up shows complete bone consolidation of the fracture traces after four years.