Outcomes of patients with teeth in the line of mandibular angle fractures treated with stable internal fixation.
OBJECTIVE
This study examines the relationship between postoperative infection and/or need for plate removal with the presence and management of teeth in the line of mandibular angle fractures.


METHODS
Data were collected on patients treated by intraoral open reduction and internal fixation for fractures of the mandibular angle during an 8-year period. Outcome variables were postoperative infection and need for removal of the bone plate(s). The relationships of demographic variables, teeth in the line of fracture, and management of teeth in the line of fracture were analyzed using standard statistical methods.


RESULTS
Four hundred two patients had sufficient follow-up for inclusion in the study. A tooth was present in the fracture line 85% of the time. Teeth in the fracture were removed in 75% of the fractures that contained teeth. Postoperative complications occurred in 19% of the sample. Fractures not containing teeth at the time of fracture had a 15.8% rate of postoperative infection compared with 19.1% for patients who had teeth in the fracture (P = NS). For angle fractures associated with a tooth, when the tooth was retained, the incidence of infection was 19.5%. When the tooth was removed, the incidence was 19.0% (P = NS).


CONCLUSIONS
There is an increased risk for postoperative complications when a tooth is present, but the increase is not statistically significant. The incidence of postoperative infection and/or the need for plate removal is not affected by whether the tooth in the fracture is removed.
Ellis
Edward
E
Oral and Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX 75390-9109, USA. Edward.Ellis@UTSouthwestern.edu
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D001860:Bone Plates / Q000009:adverse effects; D016009:Chi-Square Distribution; D002648:Child; D003731:Dental Caries / Q000503:physiopathology; D020878:Device Removal; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male; D008337:Mandibular Fractures / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D010510:Periodontal Diseases / Q000503:physiopathology; D011446:Prospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000209:etiology; D014070:Tooth / Q000503:physiopathology*; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000503:physiopathology; D014086:Tooth Mobility / Q000503:physiopathology; D014092:Tooth Root / Q000293:injuries; D016896:Treatment Outcome