Surgical treatment of mandibular fracture resulting from first molar extraction: case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.20915

Keywords:

Surgery Oral; Intraoperative Complications; Fracture Fixation; Mandíbula.

Abstract

Extraction is one of the most common procedures performed by dental surgeons in their daily clinical practice. Among the trans and postoperative complications associated with this procedure can be mentioned the occurrence of trismus, infections, edema, alveolitis, paresthesia or fractures. The purpose of this study was to report a clinical case of a mandibular fracture associated with first molar extraction, approaching its main risk factors and treatment. Patient JSS, 24 years old, female, was referred to the service of Maxillofacial Surgery due to complications resulted from the extraction of element 36. On physical examination, was observed the presence of fragment mobility, communication of bone tissue with the oral environment and pain complaint was reported by the patient. Computed tomography showed the presence of a fracture in the region of the mandibular body on the left side. The planned surgical proposal was the intraoral debridement of bone fragments, extraoral access in the base of the mandible, fixation of the fracture with plate 2.4 and intraoral and extraoral access suture. During the surgical procedure, it is of great importance that the dental surgeon be aware to the signals emitted by the patient, such as clicks associated with severe pain, profuse bleeding or crackling as these symptoms may be the result of mandibular fracture. When any of these signs are found during the operation, the professional must investigate the occurrence of a possible fracture. It is concluded that in addition to performing a good preoperative evaluation, the dental surgeon must carry out a correct planning of the surgical act based on the basic principles of the surgical technique.

References

Alves Filho, M. E. A., Barreto, J. O., da Silva-Júnior, S. E., Freire, J. C. P., Rocha, J. F., & Dias-Ribeiro, E. (2019). Estudo retrospectivo das complicações associadas a exodontia de terceiros molares em um serviço de referência no sertão paraibano, Brasil. Archives of Health Investigation, 8(7), 376-380. Retrieved from:https://www.researchgate.net/profile/Eduardo-Dias-Ribeiro/publication/336247299_Estudo_retrospectivo_das_complicacoes_associadas_a_ex odontia_de_terceiros_molares_em_um_servico_de_referencia_no_sertao_paraibano_Brasil/links/5f4cdce9458515a88b9785bf/Estudo-retrospectivo-das-compl icacoes-associadas-a-exodontia-de-terceiros-molares-em-um-servico-de-referencia-no-sertao-paraibano-Brasil.pdf

Almeida, R. O. P., & Pereira, B. B. (2020). Relação entre exodontia de terceiros molares e fratura de mandíbula. R Odontol Planal Cent, 1-9. Retrieved from: https://dspace.uniceplac.edu.br/bitstream/123456789/488/1/Rodrigo%20Oliveira%20Prais% 20de%20Almeid a_0007260.pdf

Bachmann, H., Cáceres, R., & Uribe, C. M. (2014). Complicaciones en Cirugía de Terceros Molares entre los Años 2007¬ 2010, en un Hospital Urbano. Int J Odontostomat.,8(1), 107-12.

Bazarin, R., & Oliveira, R. V. (2018). Acidentes e complicações nas exodontia. Revista Uningá, 55(1), 32-39. Retrieved from: http://34.233.57.254 /index.php/uninga/article/view/2102

Blanski, D., Tochetto Primo, B., José Stringhini, D., Luis Barbosa Rebellato, N., João da Costa, D., Scariot de Moraes, R., Roberto Müller, P., & Eduardo Klüppel, L. (2013). Fratura do corpo da mandíbula após exodontia de 2º molar inferior em paciente HIV positiva: relato de caso clínico. Revista Da Faculdade De Odontologia - UPF, 17(2). https://doi.org/10.5335/rfo.v17i2.2888

Botelho, T. C. A., de Oliveira Dantas, Á. C., Pimentel, S. M. A., & Corrêa, A. K. M. (2020). Acidentes e Complicações Associados à Exodontia de Terceiro Molar Inferior Impactado: Revisão de Literatura. Brazilian Journal of Development, 6(12), 96918-96931. https://doi.org/10.34117/bjdv6n12-256

Delantoni, A., & Antoniades, I. (2010). The iatrogenic fracture of the coronoid process of the mandible. A review of the literature and case presentation. Cranio: the journal of craniomandibular practice, 28(3), 200–204. https://doi.org/10.1179/crn.2010.028

De Lima, V. N., Figueiredo, C. M. B. F., Momesso, G. A. C., de Queiroz, S. B. F., & Faverani, L. P. (2017). Fratura mandibular associado à remoção de terceiro molar inferior: revisão de literatura. Archives of Health Investigation, 6(9), 414-417. Retrieved from: https://www.researchgate.net/profile/Valthierre-De-Lima/publication/320210111_Fratura_mandibular_associado_a_remocao_de_terceiro_molar_inferior_revisao_de_literatura/links/59d6dc4e458515db19c5 0613/Fratura-mandibular-associado-a-remocao-de-terceiro-molar-inferior-revisao-de-literatura.pdf

Dos Santos Silva, W., Silveira, R. J., de Araujo Andrade, M., Franco, A., & Silva, R. F. (2017). Is The Late Mandibular Fracture From Third Molar Extraction a Risk Towards Malpractice? Case Report with the Analysis of Ethical and Legal Aspects. Journal of Oral & Maxillofacial Research, 8(2), e5. https://doi.org/10.5037/jomr.2017.8205

Ethunandan, M., Shanahan, D., & Patel, M. (2012). Iatrogenic mandibular fractures following removal of impacted third molars: an analysis of 130 cases. British dental journal, 212(4), 179–184. https://doi.org/10.1038/sj.bdj.2012.135

Flandes, M. P., Dias, L. B. G. M., & Junior, W. P. (2019). Fratura de mandíbula–relato de caso. Revista de Odontologia da Universidade Cidade de São Paulo, 31(2), 205-212.

García-Guerrero, I., Ramírez, J. M., Gómez de Diego, R., Martínez-González, J. M., Poblador, M. S., & Lancho, J. L. (2018). Complications in the treatment of mandibular condylar fractures: Surgical versus conservative treatment. Annals of anatomy = Anatomischer Anzeiger,216, 60–68. https://doi.org/10.10 16/j.aanat.2017.10.007

Hupp, J. R., Tucker, M. R., & Ellis, E. (2015). Contemporary Oral and maxillofacial surgery (6a ed.). Elsevier health sciences.

Ishii, F. T., Negreiros, R. M., Milani, B. A., Bauer, HC, & Jorge, WA. (2012). Fratura tardia de mandíbula decorrente de exodontia de terceiro molar: relato de caso. Rev Assoc Paul Cir Dent, 66(4), 268-71. Retrieved from: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0004-52762012000400004 &lng=pt&nrm=iso&tlng=pt

Miloro, M., et al. (2016). Princípios de Cirurgia Bucomaxilofacial de Peterson (5ª ed.). Rio de Janeiro: Santos

Oliveira Soares, L., de Souza Carvalho, B., Gonçalves de Resende, R., & Martins Gomes, A. (2019). Tratamento fechado em fratura mandibular: parassinfisária e côndilar bilateral – relato de caso clínico. Revista Da Faculdade De Odontologia - UPF, 24(2), 292-298. https://doi.org/10.5335/rfo.v24i2.10457

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Método Qualitativo, quantitativo ou Quali-Quanti. In Metodologia da Pesquisa Científica. Retrieved from: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1

Rodrigues, Á. R., Oliveira, M. T. F., Paiva, L. G. J., Rocha, F. S., da Silva, M. C. P., & Zanetta-Barbosa, D. (2013). Fratura mandibular durante remoção do terceiro molar: fatores de risco, medidas preventivas e métodos de tratamento. Revista Odontológica do Brasil Central, 22(63). https://doi.org/10.3606 5/robrac.v22i63.792

Silva, T., Maranhão Filho, A., Alencar, M., De Bortoli, M. M., & Vasconcelos, B. (2019). Mandibular fracture after third molar removal: a case report. General dentistry, 67(4), e7–e10. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/31355773/

Xu, J. J., Teng, L., Jin, X. L., Lu, J. J., & Zhang, C. (2014). Iatrogenic mandibular fracture associated with third molar removal after mandibular angle osteotectomy. The Journal of craniofacial surgery, 25(3), e263–e265. https://doi.org/10.1097/SCS.0000000000000566

Downloads

Published

09/10/2021

How to Cite

COSTA, M. G. da; SANTOS, A. M. de S.; SILVA, M. C.; LIMA NETO, T. J. de; DALLAZEN, E. .; SOUZA, M. B.; HOCHULI VIEIRA, E. .; FAVERANI, L. P. Surgical treatment of mandibular fracture resulting from first molar extraction: case report . Research, Society and Development, [S. l.], v. 10, n. 13, p. e161101320915, 2021. DOI: 10.33448/rsd-v10i13.20915. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20915. Acesso em: 7 dec. 2021.

Issue

Section

Health Sciences