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

João Paulo  Bonardi; Gustavo Antonio Corrêa  Momesso; Vathierre Nunes de  Lima; Anderson Maikon de Souza  Santos; Barbara Ribeiro Rios; Erik Neiva Ribeiro de Carvalho  Reis; Leonardo de Freitas  Silva; Eduardo Hochuli Vieira; Joel Ferreira  Santiago Júnior; Leonardo Perez  Faverani

doi:10.33448/rsd-v9i9.7856

Authors

João Paulo Bonardi Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-1687-1340
Gustavo Antonio Corrêa Momesso Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0003-4529-683X
Vathierre Nunes de Lima Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0001-7673-4439
Anderson Maikon de Souza Santos Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0001-9371-9417
Barbara Ribeiro Rios Department of Diagnosis and Surgery, São Paulo State University, School of Dentistry, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-5389-5536
Erik Neiva Ribeiro de Carvalho Reis Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0001-5175-8469
Leonardo de Freitas Silva Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0002-0344-2395
Eduardo Hochuli Vieira Department of Diagnosis and surgery, Araraquara Dental School, UNESP, Araraquara, São Paulo, Brazil https://orcid.org/0000-0003-4040-9313
Joel Ferreira Santiago Júnior Department of Health Sciences, University of Sagrado Coração, USC, Bauru, São Paulo, Brazil https://orcid.org/0000-0003-1735-2224
Leonardo Perez Faverani Department of Diagnosis and surgery, Araçatuba Dental School, UNESP, Araçatuba, São Paulo, Brazil https://orcid.org/0000-0003-2249-3048

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).

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

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