Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors

Third molar surgery is the most common surgical procedure in the oral cavity. Whenever extraction is indicated, careful planning based on clinical and radiographic examinations is essential to guard against postoperative complications like: bleeding, alveolitis, infections, injury to adjacent teeth,...

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Autores principales:	Andrade,Valdir Cabral, Neto,Patrício José de Oliveira, de Moraes,Márcio, Asprino,Luciana
Lenguaje:	English
Publicado:	Universidad de La Frontera. Facultad de Medicina 2013
Materias:	third molar extraction Mandibular fracture late complication
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2013000200019
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spelling	oai:scielo:S0718-381X20130002000192013-11-04Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing FactorsAndrade,Valdir CabralNeto,Patrício José de Oliveirade Moraes,MárcioAsprino,Luciana third molar extraction Mandibular fracture late complication Third molar surgery is the most common surgical procedure in the oral cavity. Whenever extraction is indicated, careful planning based on clinical and radiographic examinations is essential to guard against postoperative complications like: bleeding, alveolitis, infections, injury to adjacent teeth, oroantral communications, or even mandibular fractures. Although rare, the risk of postoperative mandibular fractures after third molar impaction surgery is related to some factors. Our case report a 50-year-old white female patient with a complaint of pain in the region of the left mandibular angle and stated that three weeks before she had the left mandibular third molar extracted, which computerized tomographic confirmed the presence of a fracture in the mandibular angle. However, our report contributes to showing the predisposing factors to cause this injury after a review of the literature, showing the clinician what they should take like consideration when they indicate the extraction of third molars. To avoid this complication, factors like bony impaction, depth of tooth within bone, proximity to the inferior dental canal, tooth position in relation to adjacent teeth, the presence of root dilacerations and others must be taken into account. A case of late mandibular fracture that occurred 21 days after third molar extraction is reported. Conservative treatment was adopted and after six-months of radiographic and clinical follow-up, the patient had fully preserved mandibular function, normal occlusion and no discomfort.info:eu-repo/semantics/openAccessUniversidad de La Frontera. Facultad de MedicinaInternational journal of odontostomatology v.7 n.2 20132013-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2013000200019en10.4067/S0718-381X2013000200019
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	third molar extraction Mandibular fracture late complication
spellingShingle	third molar extraction Mandibular fracture late complication Andrade,Valdir Cabral Neto,Patrício José de Oliveira de Moraes,Márcio Asprino,Luciana Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors
description	Third molar surgery is the most common surgical procedure in the oral cavity. Whenever extraction is indicated, careful planning based on clinical and radiographic examinations is essential to guard against postoperative complications like: bleeding, alveolitis, infections, injury to adjacent teeth, oroantral communications, or even mandibular fractures. Although rare, the risk of postoperative mandibular fractures after third molar impaction surgery is related to some factors. Our case report a 50-year-old white female patient with a complaint of pain in the region of the left mandibular angle and stated that three weeks before she had the left mandibular third molar extracted, which computerized tomographic confirmed the presence of a fracture in the mandibular angle. However, our report contributes to showing the predisposing factors to cause this injury after a review of the literature, showing the clinician what they should take like consideration when they indicate the extraction of third molars. To avoid this complication, factors like bony impaction, depth of tooth within bone, proximity to the inferior dental canal, tooth position in relation to adjacent teeth, the presence of root dilacerations and others must be taken into account. A case of late mandibular fracture that occurred 21 days after third molar extraction is reported. Conservative treatment was adopted and after six-months of radiographic and clinical follow-up, the patient had fully preserved mandibular function, normal occlusion and no discomfort.
author	Andrade,Valdir Cabral Neto,Patrício José de Oliveira de Moraes,Márcio Asprino,Luciana
author_facet	Andrade,Valdir Cabral Neto,Patrício José de Oliveira de Moraes,Márcio Asprino,Luciana
author_sort	Andrade,Valdir Cabral
title	Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors
title_short	Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors
title_full	Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors
title_fullStr	Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors
title_full_unstemmed	Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors
title_sort	late mandibular angle fracture after impacted third molar extraction: case report and review of predisposing factors
publisher	Universidad de La Frontera. Facultad de Medicina
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2013000200019
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Late Mandibular Angle Fracture After Impacted Third Molar Extraction: Case Report and Review of Predisposing Factors

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