Late treatment of mandible fracture after third molar removal
DOI:
https://doi.org/10.33448/rsd-v11i2.25673Keywords:
Third molar; Bone fracture; Pain; Malocclusion.Abstract
Surgical management of impacted third molars is a treatment performed by dentists and its indicated for various conditions, among the indications has the prevention of mandibular fracture, but this is a factor that has been discussed and is controversial. Fractures caused by a third molar can occur, and on the other hand, the fractures after or during the management of impacted third molar are a possible complication. Surgical planning as the indication to the surgery has to be performed to avoid complications as the fracture. Thus this study aims to report a case about a mandible fracture after third molar extraction, presenting edema, pain, and restriction in mandible mobility in 01-day follow-up. A 27-year-old female was referred to the oral and maxillofacial surgery service of the Santa Casa Hospital of Araçatuba (Araçatuba, Brazil), reporting dental history of third molar removal, with immediately chief complaints. In the assessment, the patient presented edema, pain, malocclusion, and restriction in mandible mobility, and the panoramic X-ray showed a mandible fracture with displacement. The patient underwent surgery under general anesthesia to open reduction with internal fixation (ORIF) through an intraoral approach. On the follow-up, the patient showed an improvement in mouth opening and mandibular mobility without pain or infection signs. The panoramic X-Rays showed us the bone fracture healing.
References
Banks, P. (1991). Killey’s Fractures of the Mandible. 4 ed. London, Butterworth- Heinemann.
Cankaya, A. B., Erdem, M. A., Cakarer, S., Cifter, M., & Oral, C. K. (2011). Iatrogenic mandibular fracture associated with third molar removal. International journal of medical sciences, 8(7), 547–553. https://doi.org/10.7150/ijms.8.547
Capalbo-Silva, R., Hadad, H., Piassi, J. E. V., Colombo, L. T., Mendes, B. C., Batista, F. R. de S., Garcia Júnior, I. R., & Souza, F. Ávila de. (2020). Late mandibular fracture after attempted third molar surgery: case report. Archives of health investigation, 9(3). https://doi.org/10.21270/archi.v9i3.4673
Chrcanovic, B. R., & Custódio, A. L. (2010). Considerations of mandibular angle fractures during and after surgery for removal of third molars: a review of the literature. Oral and maxillofacial surgery, 14(2), 71–80. https://doi.org/10.1007/s10006-009-0201-5
Grau-Manclús, V., Gargallo-Albiol, J., Almendros-Marqués, N., & Gay-Escoda, C. (2011). Mandibular fractures related to the surgical extraction of impacted lower third molars: a report of 11 cases. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 69(5), 1286–1290. https://doi.org/10.1016/j.joms.2010.05.059
He, P., Mah-Ginn, K., Karhade, D. S., Donoff, B., Adeeb, N., Gupta, R., Medford, S., & Afshar, S. (2019). How Often Do Oral Maxillofacial Surgeons Lose Malpractice Cases and Why?. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 77(12), 2422–2430. https://doi.org/10.1016/j.joms.2019.07.001
Jerjes, W., Upile, T., Shah, P., Nhembe, F., Gudka, D., Kafas, P., McCarthy, E., Abbas, S., Patel, S., Hamdoon, Z., Abiola, J., Vourvachis, M., Kalkani, M., Al-Khawalde, M., Leeson, R., Banu, B., Rob, J., El-Maaytah, M., & Hopper, C. (2010). Risk factors associated with injury to the inferior alveolar and lingual nerves following third molar surgery-revisited. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 109(3), 335–345. https://doi.org/10.1016/j.tripleo.2009.10.010
Koskela, S., Suomalainen, A., Apajalahti, S., & Ventä, I. (2017). Malpractice claims related to tooth extractions. Clinical oral investigations, 21(2), 519–522. https://doi.org/10.1007/s00784-016-1896-y
Krimmel, M., & Reinert, S. (2000). Mandibular fracture after third molar removal. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 58(10), 1110–1112. https://doi.org/10.1053/joms.2000.9566
Liu, Y. F., Wang, R., Baur, D. A., & Jiang, X. F. (2018). A finite element analysis of the stress distribution to the mandible from impact forces with various orientations of third molars. Journal of Zhejiang University. Science. B, 19(1), 38–48. https://doi.org/10.1631/jzus.B1600552
Marciani R. D. (2007). Third molar removal: an overview of indications, imaging, evaluation, and assessment of risk. Oral and maxillofacial surgery clinics of North America, 19(1), 1–v. https://doi.org/10.1016/j.coms.2006.11.007
Miloro, M.; Ghali, G.E.; Larsen, P.E. & Waite, P.D. (2008). Princípios de Cirurgia. Bucomaxilofacial de Peterson. 2 ed. São Paulo: Livraria Santos Editora.
Özçakir-Tomruk, C., & Arslan, A. (2012). Mandibular angle fractures during third molar removal: a report of two cases. Australian dental journal, 57(2), 231–235. https://doi.org/10.1111/j.1834-7819.2012.01674.x
Peñarrocha-Diago, M., Camps-Font, O., Sánchez-Torres, A., Figueiredo, R., Sánchez-Garcés, M. A., & Gay-Escoda, C. (2021). Indications of the extraction of symptomatic impacted third molars. A systematic review. Journal of clinical and experimental dentistry, 13(3), e278–e286. https://doi.org/10.4317/jced.56887
Perry, P. A., & Goldberg, M. H. (2000). Late mandibular fracture after third molar surgery: a survey of Connecticut oral and maxillofacial surgeons. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 58(8), 858–861. https://doi.org/10.1053/joms.2000.8204
Pires, W. R., Bonardi, J. P., Faverani, L. P., Momesso, G. A., Muñoz, X. M., Silva, A. F., Panzarini, S. R., Bassi, A. P., & Ponzoni, D. (2017). Late mandibular fracture occurring in the postoperative period after third molar removal: systematic review and analysis of 124 cases. International journal of oral and maxillofacial surgery, 46(1), 46–53. https://doi.org/10.1016/j.ijom.2016.09.003
Seeley-Hacker, B. L., Holmgren, E. P., Harper, C. W., Lauer, C. S., & Van Citters, D. W. (2020). An Anatomic Predisposition to Mandibular Angle Fractures. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 78(12), 2279.e1–2279.e12. https://doi.org/10.1016/j.joms.2020.05.042
Soós, B., Janovics, K., Tóth, Á., Di Nardo, M. D., & Szalma, J. (2020). Association Between Third Molar Impaction Status and Angle or Condylar Fractures of the Mandible: A Retrospective Analysis. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 78(7), 1162.e1–1162.e8. https://doi.org/10.1016/j.joms.2020.02.005
Ventä, I., Lindqvist, C., & Ylipaavalniemi, P. (1998). Malpractice claims for permanent nerve injuries related to third molar removals. Acta odontologica Scandinavica, 56(4), 193–196. https://doi.org/10.1080/00016359850142772
Ventä I. (2012). How often do asymptomatic, disease-free third molars need to be removed?. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 70(9 Suppl 1), S41–S47. https://doi.org/10.1016/j.joms.2012.04.037
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Copyright (c) 2022 Maísa Pereira-Silva; Kim Henderson Carmo Ribeiro; Mateus Diego Pavelski; Izabella Sol; Laís Kawamata de Jesus; Henrique Hadad; Ana Paula Farnezi Bassi; Leonardo Perez Faverani; Alessandra Marcondes Aranega; Idelmo Rangel Garcia-Júnior; Osvaldo Magro-Filho; Francisley Ávila Souza
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