Rigid fixation with teeth in the line of mandibular fractures.
The treatment results and the incidence of complications were evaluated retrospectively in a group of 68 patients. They all had mandibular fractures with a tooth in the line of fracture and were treated using miniplates for fixation. The follow up ranged from 1 to 6 years (mean 2.6 years) and 90 fracture sites were involved. Results showed that the incidence of complications when the tooth was extracted was higher (3/12) than when it was left in place (8/78). With regard to both healing of the fracture and fate of the tooth in the line of fracture, it is recommended to retain teeth in the line of fracture, unless there is an absolute indication for extraction. It is advisable to monitor the vitality of teeth adjacent to the fracture line for at least one year.
Gerbino
G
G
Division of Maxillo-Facial Surgery, University of Turin, Italy.
Tarello
F
F
Fasolis
M
M
De Gioanni
P P
PP
D000704:Analysis of Variance; D001860:Bone Plates; D001863:Bone Screws; D003731:Dental Caries / Q000150:complications; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation; D017102:Fracture Healing; D006801:Humans; D015994:Incidence; D008337:Mandibular Fractures / Q000150:complications / Q000473:pathology / Q000601:surgery*; D008964:Molar, Third / Q000601:surgery; D010510:Periodontal Diseases / Q000150:complications; D011183:Postoperative Complications; D012189:Retrospective Studies; D014025:Titanium; D014070:Tooth / Q000473:pathology*; D014084:Tooth Avulsion / Q000150:complications / Q000601:surgery; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000150:complications / Q000601:surgery; D014095:Tooth, Impacted / Q000150:complications / Q000601:surgery; D016896:Treatment Outcome
D014025:Titanium