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Open Reduction with Internal Fixation of Mandibular Angle Fractures: A Retrospective Study.
Journal (Canadian Dental Association)
|February 28, 2017
Summary
Complications from mandibular angle fractures are common, especially with wisdom tooth extraction. Leaving wisdom teeth in place may reduce infection and other adverse outcomes in healthy patients.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Dental Medicine
Background:
- Mandibular angle fractures are common facial injuries.
- Complications can significantly impact patient outcomes and treatment success.
Purpose of the Study:
- To document complications of mandibular angle fractures.
- To identify factors influencing complication rates.
Main Methods:
- Retrospective chart review of patients with mandibular angle fractures.
- Data collected from 2009-2013 at Centre hospitalier universitaire de Québec.
- Analysis of patient demographics, fracture characteristics, treatment, and outcomes.
Main Results:
- Overall complication rate was 42.3%, with infections (37.2%) and plate removal (26.9%) being most frequent.
- Older patients experienced more infections and plate removals.
- Wisdom tooth extraction was associated with increased infections and overall complications.
Conclusions:
- Leaving wisdom teeth in the line of mandibular angle fracture may be beneficial.
- Avoid wisdom tooth extraction unless clinically indicated to reduce complications.
