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Mandibular Angle Fractures and Third Molar Management: A 10-Year Retrospective Study on Clinical Outcomes and
Danilo Di Giorgio1,2, Benedetta Capasso1,2, Federica Orsina Ferri1,2
1Department of Oral and Maxillofacial Sciences, Sapienza University of Rome.
The Journal of Craniofacial Surgery
|January 12, 2026
Summary
For mandibular angle fractures, the decision to extract an impacted third molar does not significantly affect complication rates. A personalized approach considering fracture details is recommended over routine removal.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
- Dental Research
Background:
- Mandibular angle fractures are common facial injuries.
- The management of third molars within fracture lines is debated.
- Clinical outcomes related to third molar management require further investigation.
Purpose of the Study:
- To analyze clinical outcomes and complications in mandibular angle fractures.
- To evaluate the impact of third molar presence and extraction on patient recovery.
- To inform evidence-based guidelines for third molar management in these fractures.
Main Methods:
- Retrospective review of 218 patients with mandibular angle fractures (2015-2025).
- Data collection included demographics, fracture type, treatment, and third molar status.
- Analysis of postoperative complications, including nerve hypoesthesia, infection, and malocclusion.
Main Results:
- A third molar was present in the fracture line in 56.4% of patients; 121 were removed.
- Postoperative complications occurred in 13.3% of patients.
- No significant difference in complication rates was found between patients with or without a third molar in the fracture line.
Conclusions:
- Neither the presence nor extraction of a third molar significantly impacts outcomes in mandibular angle fractures.
- Routine extraction of third molars in these fractures is not supported by this study's findings.
- A patient-specific approach to third molar management is recommended.
