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Mandibular fractures. Their effect on growth and dentition
Archives of Otolaryngology--Head & Neck Surgery
|March 1, 1987
Summary
Childhood mandible fractures often lead to significant facial growth and dental issues. Early clinical examination is the best screening tool for these long-term abnormalities.
Area of Science:
- Orthodontics
- Pediatric Dentistry
- Craniofacial Surgery
Background:
- Mandible fractures in childhood can have lasting effects on facial development.
- Long-term follow-up studies are crucial for understanding these sequelae.
Purpose of the Study:
- To assess the long-term outcomes of childhood mandible fractures.
- To identify the prevalence of facial growth and dental abnormalities.
- To evaluate diagnostic methods for these abnormalities.
Main Methods:
- Long-term follow-up of 28 subjects with a history of childhood mandible fractures.
- Clinical examination by trained medical-dental examiners.
- Cephalometric analysis (frontal and lateral roentgenograms).
- Assessment of occlusion and dentition.
Main Results:
- 47% of subjects exhibited facial growth abnormalities, with 18% showing severe issues.
- 67% of analyzed subjects had cephalometric abnormalities, most severe with condylar fractures.
- Clinical examination was the most effective screening tool.
- 36% of subjects presented with occlusion and dentition abnormalities.
Conclusions:
- Childhood mandible fractures frequently result in asymmetric facial growth and dental anomalies.
- Clinical assessment is superior to radiographic methods alone for screening.
- Pterygoid muscle exercises may mitigate future abnormalities.