Document Detail

Impacted tooth in mandibular fracture line: treatment with closed reduction.
MedLine Citation:
PMID:  15015159     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Most mandibular fractures occur because of blunt trauma. In some cases, the mandible can be weakened by the presence of an unerupted or impacted tooth. The fate of this tooth in the fracture line and its effects on bone healing remain an important outcome event. MATERIALS AND METHODS: In this study, we analyzed the records of 117 patients with a total of 121 fractures having an unerupted tooth remaining in the fracture line who were treated and followed by the Dental Faculty of Ankara University between 1986 and 1996. All were open fractures, and none of the patients had a history of an acute inflammatory episode related to the unerupted tooth before the injury. Intermaxillary fixation was used in all cases. RESULTS: Three of the patients subsequently required open reduction with internal fixation. The unerupted tooth was not extracted in any patient. The fixation was maintained for an average of 45 days and followed up for 3 months. No complications were encountered. CONCLUSION: According to these results, we suggest that asymptomatic impacted teeth in the fracture line of uncomplicated mandible fractures do not cause delayed healing when treated with closed reduction.
Timuçin Baykul; Erdal Erdem; Dogan Dolanmaz; Alper Alkan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  62     ISSN:  0278-2391     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-11     Completed Date:  2004-04-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  289-91     Citation Subset:  AIM; D; IM    
Department of Oral and Maxillofacial Surgery, Süleymen Demirel University Faculty of Dentistry, Isparta, Turkey.
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MeSH Terms
Follow-Up Studies
Fracture Fixation, Internal
Fracture Healing / physiology
Fractures, Open / complications,  therapy
Jaw Fixation Techniques
Mandibular Fractures / complications*,  therapy
Middle Aged
Radiography, Panoramic
Retrospective Studies
Time Factors
Tooth, Impacted / complications*,  physiopathology
Tooth, Unerupted / complications,  physiopathology
Treatment Outcome
Comment In:
J Oral Maxillofac Surg. 2004 Jul;62(7):905-6; author reply 906   [PMID:  15244001 ]

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