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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
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Published on: January 28, 2020

Bilateral mandibular angle fractures: clinical considerations.

Paolo Boffano1, Fabio Roccia

  • 1Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, University of Turin, Turin, Italy. paolo.boffano@gmail.com

The Journal of Craniofacial Surgery
|February 27, 2010
PubMed
Summary
This summary is machine-generated.

Bilateral mandibular angle fractures, often linked to impacted third molars, can be successfully treated with various surgical approaches. This study evaluated surgical outcomes for these specific fractures.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Trauma Surgery
  • Biomechanics

Background:

  • The mandibular angle is a common fracture site, particularly vulnerable due to its anatomical location.
  • Incompletely erupted third molars are associated with an increased risk of mandibular angle fractures.
  • Bilateral mandibular angle fractures present a unique challenge and opportunity for biomechanical study.

Purpose of the Study:

  • To evaluate and discuss the surgical outcomes of patients with bilateral mandibular angle fractures.
  • To analyze the effectiveness of different surgical approaches in treating these fractures.
  • To explore the biomechanical pathogenesis of mandibular angle fractures using bilateral cases as a model.

Main Methods:

  • Retrospective analysis of patients surgically treated for bilateral mandibular angle fractures between 2001 and 2009.
  • Surgical approaches included combined transbuccal and intraoral, or intraoral only.
  • Evaluation of fracture reduction and postoperative occlusion.

Main Results:

  • Eight patients (7 male, 1 female) were included in the study.
  • Both surgical techniques yielded good to satisfactory fracture reduction.
  • All patients achieved good to fair restored occlusion postoperatively.

Conclusions:

  • Successful treatment of bilateral mandibular angle fractures is achievable with various surgical techniques.
  • Superficially impacted third molars may correlate with a higher risk of angle fractures.
  • Bilateral angle fractures serve as an excellent model for investigating fracture biomechanics.