Etiological factors for mandibular fractures in transoperative period of tooth extraction: systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.7856

Keywords:

Tooth extractions; Mandibular fractures; Molar; Molar, Third.

Abstract

Objectives: to analyze the possible etiological factors associated with mandibular fractures occurring during tooth extractions. Methods the following data were collected: sex, age, the extracted tooth, tooth classification, angulation, level of bone impaction, pathological association, recognized technical errors, instruments used at the time of the fracture, and the surgeon’s experience and specialization, if applicable. An electronic search of the following databases was performed: PubMed/Medline, Lilacs, Embase, and Scopus. The data were tabulated and analyzed using the Chi-square test, a P-value less than 0.05 was considered significant. Results: a total of 80 cases were selected. Sex and age were not statistically significant (P>0.05). The teeth most associated with fractures were the mandibular third molars; however, the location was not significant. Pell & Gregory classes II, B, C, mesio-angular teeth, partial bone impaction, teeth related to pathological process, application of excessive strength, extractions with elevators, and non-specialists showed greater association with mandibular fractures during transoperative time (P<0.05).

References

Barsekow, F. Iatrogenic mandibular fractures from the medicolegal viewpoint. Niedersachs Zahnarztebl 1981;16, 508–10 [In German].

Berlin, J. G. Mandibular fractures caused by tooth extraction. ZWR 1977; 86,8–11.

Bodner, L., Brennan, P. A., & McLeod, N. M. Characteristics of iatrogenic mandibular fractures associated with tooth removal: review and analysis of 189 cases. Br J Oral Maxillofac Surg. 2011 Oct; 49(7), 567-72.

Bonardi, J. P., Cordeiro, R. F., Stabile, G. A. V., & Pereira-Stabile, C. L. Treatment of iatrogenic mandibular angle fracture following third molar extraction surgery: a case report. Rev Port Estomatol Med Dent Cir Maxilofac 2015; 56(1), 68–72. [In Portuguese].

Borea, G., Dallera, P., & Scotti S. Iatrogenic mandibular fractures. ZWR. 1977; 86, 467–75 [In German].

Cankaya, A. B., Erdem, M. A., Cakarer, S., Cifter, M., & Oral, C. K. Iatrogenic mandibular fracture associated with third molar removal. Int J Med Sci. 2011;8(7), 547-53.

Chrcanovic, B. R., Custódio, A. L. Considerations of mandibular angle fractures during and after surgery for removal of third molars: a review of the literature. Oral Maxillofac Surg 2010; 14, 71–80.

Coleman, K., Norris, S., Weston, A., Grimmer-Somers, K., Hiller, S., Merlin, T., et al. NHMRC additional levels of evidence and grades for recommendations for developers of guiderlines. Retrieved from http://www.nhmrc.gov.au/_files_nhmrc/ file/guiderlines/stage_2_consultation_levels_and_grades.pdf.

de Carvalho, A. C., Sanches, M. G., Saad Neto, M., de Carvalho, P. S. Mandibular fracture during tooth extraction. Rev Assoc Paul Cir Dent. 1977; 31,91–4 [In Portuguese].

Duarte, B. G., Assis, D., Ribeiro-Júnior, P., Gonçales, E. S. Does the Relationship between Retained Mandibular Third Molar and Mandibular Angle Fracture Exist? An Assessment of Three Possible Causes. Craniomaxillofac Trauma Reconstr. 2012 Sep; 5(3),127-36.

Ekholm, A. Mandibular fracture in tooth extraction. Suom Hammaslaak Toim 1953; 49, 11–4.

Ethunandan, M., Shanahan, D., & Patel, M. Iatrogenic mandibular fractures following removal of impacted third molars: an analysis of 130 cases. Br Dent J. 2012 Feb 24; 212(4), 179-84.

Farish, S. E. Iatrogenic fracture of the coronoid process: report of case. J Oral Surg. 1972; 30,848–50.

Gallego, L., Junquera, L., Pelaz, A., & Costilla, S. Pathological mandibular fracture after simple molar extraction in a patient with osteogenesis imperfecta treated with alendronate. Med Oral Patol Oral Cir Bucal. 2010 Nov 1; 15(6), e895-7.

Goldberg, M. H., Nemarich, A. N., & Marco, W. P. Complications after mandibular third molar surgery: a statistical analysis of 500 consecutive procedures in private practice. J Am Dent Assoc. 1985 Aug; 111(2),277-9.

Grau-Manclús, V., Gargallo-Albiol, J., Almendros-Marqués, N., Gay-Escoda, C. Mandibular fractures related to the surgical extraction of impacted lower third molars: a report of 11 cases. J Oral Maxillofac Surg. 2011 May; 69(5),1286-90.

Guzmán, A. L, Scheinpflug, R., Beltrão, G. C. Iatrogenic mandibular fracture during lower third molar surgery. Revista Odonto Ciência 1990; 5, 88–95.

Hammer, H. Forensische fragen in der zahnextraktionen. Dtsch Zahnarztl Z. 1955; 23, 1709–27.

Harnisch, H. Iatrogenic fractures of the jaw. Quintessence Int (Berl). 1971; 2, 11–3.

Haunfelder, D., & Tetsch, P. Mandibular fractures caused by tooth extraction. Dtsch Zahnarztl Z. 1972; 27, 881–7 [In German].

Hiregoudar, J. S. Iatrogenic fracture of mandible, due to Improper Elevator Technique. Indian J Dent Adv. 2012; 4(4), 995-997.

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.

Krimmel, M., Reinert, S. Mandibular fracture after third molar removal. J Oral Maxillofac Surg. 2000 Oct; 58(10),1110-2.

Libersa, P., Roze, D., Cachart, T., & Libersa, J. C. Immediate and late mandibular fractures after third molar removal. J Oral Maxillofac Surg. 2002 Feb; 60(2),163-5.

Lombardi, A., Arienza, F., Talarico, D. Mandibular fracture as a complication of lower third molar extractions. Rev Asoc Odontol Argent.2010, 98(4), 339-42. [In Spanish].

Morales-Trejo, B., Rocha-Navarro, M. L., Acosta-Veloz, A. L., & Juárez-Hernández, A. Class, type and position of 9148 surgically removed third molars in 3206 patients: a retrospective study. Med Oral Patol Oral Cir Bucal. 2012; 1;17(3),447-51.

Msagati, F., Simon, E. N., Owibingire, S. Pattern of occurrence and treatment of impacted teeth at the Muhimbili National Hospital, Dar es Salaam, Tanzania. BMC Oral Health. 2013 Aug 6; 13,37.

Necek, B. Fracture of the mandible at the time of tooth extraction. Czas Stomatol. 1965; 18,139–43 [In Polish].

Niedzielska, I., Kowol, I., Sroczyńska−Grula, A. Iatrogenic Injury During Extraction of Lower Molar Teeth. Dent Med Probl. 2009; 46(4),501–5.

Nyul, L. Kieferfrakturen bei zahnextrationen. Zahnarztl Welt. 1959; 60, 1–5.

Ohm, H. J. Mandibular fracture caused by tooth extraction. Report of 2 cases. DDZ. 1965;,19, 462–6 [In German].

Oliveira, C. C. M. X., Silva-Júnior, E. Z., Brasil-Júnior, O., Almeida, H. C. R., Pacheco, G. M. Fractured mandible during impacted third molar exodontia: a case report. Rev Cir Traumatol Buco-Maxilo-Fac.2013; 13(4),15-20. [In Portuguese].

Osborn, T. P., Frederickson, G. Jr, Small, I. A., & Torgerson, T. S. A prospective study of complications related to mandibular third molar surgery. J Oral Maxillofac Surg. 1985 Oct; 43(10), 767-9.

Özçakir-Tomruk, C., Arslan, A. Mandibular angle fractures during third molar removal: a report of two cases. Aust Dent J. 2012 Jun; 57(2), 231-5.

Panos, G., Bochlogyros, P. N. Iatrogenic fracture of the mandible. Hell Period Stomat Gnathopathoprosopike Cheir 1988; 3,93–5 [In Greek].

Paszek-Chromik, B., & Jendroszczyk, E. Iatrogenic mandibular fracture. Czas Stomatol 1987; 40,797–802 [In Polish].

Pell, G. J., & Gregory, T. Report on a ten-year study of a tooth division technique for the removal of impacted teeth. Am J Orthodont Oral Surg. 1942; 28, 660–6.

Pires, W. R., Bonardi, J. P., Faverani, L. P., Momesso, G. A. C., Muñoz, X. M. J. P., da Silva, A. F. M., Panzarini, S. R., Bassi, A. P. F., & Ponzoni, D. Late mandibular fracture occurring in post-operative period after third molar removal: systematic review and analysis of 124 cases. Int J Oral Maxillofac Surg.doi:10.1016/j.ijom.2016.09.003

Rodrigues, A. R., Oliveira, M. T. F., Paiva, L. G. J., Rocha, F. S., Silva, M. C. P., Zanetta-Barbosa, D. Mandibular fracture during third molar removal: risk factors, preventive measures and treatment methods. Rev Odontol Bras Central. 2013;22(63), 124-7. [In Portuguese].

Saulo, E. S. S. E., Moreira, R. W. F., Araújo, M. M. Treatment of a Mandibular Angle Fracture by Champy’s Method after Removal of Contralateral Impacted Third Molar: Case Report. Rev Cir Traumatol Buco-Maxilo-fac.2009;9(3),15-20. [In Portuguese].

Schneider, H. R. Lokale Komplikationen nach Zahnentfernung. Schweiz Mschr Zahnheilk.1980;90(7), 641-6.

Shinohara, E. H., Pelissaro, G. S., Roque, J. S., Carvalho-Junior, J. P. Tratamento de fratura mandibular com enxerto autógeno de processo coronóide. Ver Assoc Paul Cir Dent.2004;58(41), 291-4.

Tamashiro-Higa, T., Inclán, P. G. A. Iatropathogenia in the extraction of tooth impactions. Rev ADM. 2003;60 (1),29-33. [In Spanish].

Valiati, R., Ibrahim, D., Poli, V. D., Heitz, C., Pagnoncelli, R. M., Silva, D. N. Mandibular fracture during mandibular third molar extraction. Internet J Dent Sci 2009. Retrieved from URL: http://www.ispub.com/journal/the_ internet of dental science/volume 6 number 2 25/article/mandibular fracture during mandibular third molar extraction.html.

Wagner, K. W., Otten, J. E., Schoen, R., Schmelzeisen, R. Pathological mandibular fractures following third molar removal. Int J Oral Maxillofac Surg 2005; 34(7),722-726

Woldenberg, Y., Gatot, I., Bodner, L. Iatrogenic mandibular fracture associated with third molar removal. Can it be prevented?. Med Oral Patol Oral Cir Bucal. 2007 Jan 1; 12(1),E70-2.

Xu, J. J., Teng, L., Jin, X. L., Lu, J. J., Zhang, C. Iatrogenic mandibular fracture associated with third molar removal after mandibular angle osteotectomy. J Craniofac Surg. 2014 May; 25(3), e263-5.

Zhang, Q. B., Ouyang, K., Zhang, Z. Q., He, J. Q., & Piao, Z. G. Iatrogenic mandibular fracture associated with third molar removal—A case report and preventive measures recommended. J Oral Maxillofac Surg Med Pathol.2012; 24, 204-7.

Downloads

Published

05/09/2020

How to Cite

Bonardi , J. P. ., Momesso , G. A. C. ., Lima , V. N. de ., Santos , A. M. de S. ., Rios, B. R., Reis , E. N. R. de C. ., Silva, L. de F. ., Vieira , . E. H., Santiago Júnior , J. F. ., & Faverani , L. P. . (2020). Etiological factors for mandibular fractures in transoperative period of tooth extraction: systematic review. Research, Society and Development, 9(9), e721997856. https://doi.org/10.33448/rsd-v9i9.7856

Issue

Section

Health Sciences