Pathological mandibular fractures following third molar removal.

Abstract:

:Seventeen patients, who presented mandibular fractures following third molar removal, were treated in the Department of Oral and Maxillofacial Surgery at the University Hospital Freiburg between 2000 and 2004. Clinical and radiological data were analysed to evaluate the possible risk of fracture following third molar removal. Our data show an increased rate of pathological mandibular fractures in males over 40 years of age, following removal of a difficult lower wisdom tooth with a high retention grade that necessitated bone removal. Fourteen out of 17 fractures occurred postoperatively. In six cases, no fracture was visible in radiographs during the primary investigation. Pathological mandibular fractures were typically located anterior to the mandibular angle (n=15). We recommend informing patients about possible risks and, in selective cases, a soft diet for up to 4 weeks after the operation. A cracking noise reported by the patient is the most important indication of a fracture. If, initially, the fracture is radiologically undetectable, we recommend the use of radiological controls.

authors

Wagner KW,Otten JE,Schoen R,Schmelzeisen R

doi

10.1016/j.ijom.2005.03.003

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

722-6

issue

7

eissn

0901-5027

issn

1399-0020

pii

S0901-5027(05)00088-3

journal_volume

34

pub_type

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