Top

Oral and Maxillofacial Surgery

Published in:

01-03-2020 | Facial Fracture | Original Article

The relationship between the status and position of third molars and the presence of mandibular angle and condylar fractures

Authors: Matteo Brucoli, Irene Romeo, Andrea Pezzana, Paolo Boffano, Arnaldo Benech

Published in: Oral and Maxillofacial Surgery | Issue 1/2020

Abstract

Introduction

The aim of this study was to assess the relationship between the status and position of third molars, and the presence of mandibular angle and/or condylar fractures, in a group of patients treated for mandibular fractures, thus hoping to contribute to the knowledge of potential predictors of these fractures.

Methods

A retrospective study was designated to include all the patients who were diagnosed and treated with open reduction and internal fixation for isolated mandibular angle fractures or isolated mandibular condylar fractures between 1st of January 2012 and 31st of December 2018. The following data were collected for each included patient: gender, age, etiology, site and side of the fracture, and presence and eruption state of third molars in the fracture side.

Results

Seventy patients were diagnosed with a condylar fracture, 48 with an angle fracture. No statistically significant difference was observed as for etiology and gender distribution between angle fracture and condyle fracture patients (p > 0.05). Angle fractures were statistically associated with the presence of third molars, whereas condylar fractures with the absence of third molars (p < 0.000005). The presence of completely erupted 3Ms was associated with condylar fractures (p < 0.05), and partially impacted 3Ms were associated with angle fractures (p < 0.0005).

Conclusions

Mandibular angle fractures and third molar presence are associated in patients who present with mandibular fractures, especially if the third molar is incompletely erupted. This information should be kept in consideration as for the diagnosis and management of patients with mandibular fractures.

Antic S, Milicic B, Jelovac DB, Djuric M (2016) Impact of the lower third molar and injury mechanism on the risk of mandibular angle and condylar fractures. Dent Traumatol 32(4):286–295CrossRef

Antic S, Saveljic I, Nikolic D, Jovicic G, Filipovic N, Rakocevic Z, Djuric M (2016) Does the presence of an unerupted lower third molar influence the risk of mandibular angle and condylar fractures? Int J Oral Maxillofac Surg 45(5):588–592CrossRef

Gaddipati R, Ramisetty S, Vura N, Kanduri RR, Gunda VK (2014) Impacted mandibular third molars and their influence on mandibular angle and condyle fractures--a retrospective study. J Craniomaxillofac Surg 42(7):1102–1105CrossRef

Giovacchini F, Paradiso D, Bensi C, Belli S, Lomurno G, Tullio A (2018) Association between third molar and mandibular angle fracture: a systematic review and meta-analysis. J Craniomaxillofac Surg 46(4):558–565CrossRef

Lee JT, Dodson TB (2000) The effect of mandibular third molar presence and position on the risk of an angle fracture. J Oral Maxillofac Surg 58(4):394–398CrossRef

Revanth Kumar S, Sinha R, Uppada UK, Ramakrishna Reddy BV, Paul D (2015) Mandibular third molar position influencing the condylar and angular fracture patterns. J Maxillofac Oral Surg 14(4):956–961CrossRef

Xu S, Huang JJ, Xiong Y, Tan YH (2017) How is third molar status associated with the occurrence of mandibular angle and condyle fractures? J Oral Maxillofac Surg 75(7):1476.e1–1476.e15CrossRef

Hanson BP, Cummings P, Rivara FP, John MT (2004) The association of third molars with mandibular angle fractures: a meta-analysis. J Can Dent Assoc 70(1):39–43PubMed

Tiwari A, Lata J, Mishra M (2016) Influence of the impacted mandibular third molars on fractures of the mandibular angle and condyle - a prospective clinical study. J Oral Biol Craniofac Res 6(3):227–230CrossRef

10.

Brucoli M, Boffano P, Pezzana A, Benech A, Corre P, Bertin H, Pechalova P, Pavlov N, Petrov P, Tamme T, Kopchak A, Romanova A, Shuminsky E, Dediol E, Tarle M, Konstantinovic VS, Jelovac D, Karagozoglu KH, Forouzanfar T (2019) The “European Mandibular Angle” research project: the analysis of complications after unilateral angle fractures. Oral Surg Oral Med Oral Pathol Oral Radiol. 128(1):14-17.

11.

Brucoli M, Boffano P, Broccardo E, Benech A, Corre P, Bertin H, Pechalova P, Pavlov N, Petrov P, Tamme T, Kopchak A, Hresko A, Shuminsky E, Dediol E, Tarle M, Konstantinovic VS, Petrovic M, Holmes S, Karagozoglu KH, Forouzanfar T (2019) The “European zygomatic fracture” research project: the epidemiological results from a multicenter European collaboration. J Craniomaxillofac Surg 47(4):616–621CrossRef

12.

Brucoli M, Boffano P, Pezzana A, Benech A, Corre P, Bertin H, Pechalova P, Pavlov N, Petrov P, Tamme T, Kopchak A, Romanova A, Shuminsky E, Dediol E, Tarle M, Konstantinovic VS, Jelovac D, Karagozoglu KH, Forouzanfar T (2019) The “European Mandibular Angle” Research Project: the epidemiologic results from a multicenter European collaboration. J Oral Maxillofac Surg 77(4):791.e1–791.e7CrossRef

13.

Brucoli M, Boccafoschi F, Boffano P, Broccardo E, Benech A (2018) The Anatomage Table and the placement of titanium mesh for the management of orbital floor fractures. Oral Surg Oral Med Oral Pathol Oral Radiol 126(4):317–321CrossRef

14.

Giarda M, Tavolaccini A, Arcuri F, Brucoli M, Benech A (2015) Surgical approach to isolated bilateral orbital floor fractures. Acta Otorhinolaryngol Ital 35(5):362–364PubMedPubMedCentral

15.

Brucoli M, Boffano P, Magnano M, Mistretta R, Benech R, Benech A (2019) The management of a high-risk patient with edentulous mandibular fractures. Otorinolaringol 69:42–44

16.

Brucoli M, Boffano P, Bonaso M, Benech A (2019) The management of a Y-shaped fracture of the mandibular ramus. Otorinolaringol 69(3):192–195

17.

Ruslin M, Brucoli M, Boffano P, Forouzanfar T, Benech A (2019) Maxillofacial fractures associated with sport injuries: a review of the current literature. Otorinolaringol 69(3):165–170CrossRef

18.

Brucoli M, Nestola DF, Baragiotta N, Boffano P, Benech A (2018) Maxillofacial fractures: epidemiological analysis of a single-center experience. Otorinolaringol 68(4):132–137

19.

Ruslin M, Brucoli M, Boffano P, Benech A, Dediol E, Uglešić V, Kovačič Ž, Vesnaver A, Konstantinović VS, Petrović M, Stephens J, Kanzaria A, Bhatti N, Holmes S, Pechalova PF, Bakardjiev AG, Malanchuk VA, Kopchak AV, Galteland P, Mjøen E, Skjelbred P, Bertin H, Corre P, Løes S, Lekven N, Laverick S, Gordon P, Tamme T, Akermann S, Karagozoglu KH, Kommers SC, de Visscher JG, Forouzanfar T (2019) Motor vehicle accidents-related maxillofacial injuries: a multicentre and prospective study. Oral Surg Oral Med Oral Pathol Oral Radiol 128(3):199–204CrossRef

20.

Brucoli M, Boffano P, Franchi S, Pezzana A, Baragiotta N, Benech A (2019) The use of teleradiology for triaging of maxillofacial trauma. J Craniomaxillofac Surg. 47(10):1535-1541

21.

Boffano P, Benech R, Gallesio C, Arcuri F, Benech A (2014) Current opinions on surgical treatment of fractures of the condylar head. Craniomaxillofac Trauma Reconstr 7(2):92–100CrossRef

22.

Arcuri F, Brucoli M, Grivetto F, Benech A (2012) Mandibular symphyseal fracture simulated by a foreign body in the chin. J Craniofac Surg 23(2):e91–e93CrossRef

23.

Arcuri F, Brucoli M, Benech A (2012) Analysis of the retroauricular transmeatal approach: a novel transfacial access to the mandibularskeleton. Br J Oral Maxillofac Surg 50(2):e22–e26CrossRef

24.

Benech A, Mazzanti C, Arcuri F, Giarda M, Brucoli M (2011) Simultaneous Le Fort I osteotomy and computer-guided implant placement. J Craniofac Surg 22(3):1042–1046CrossRef

25.

Kommers SC, van den Bergh B, Boffano P, Verweij KP, Forouzanfar T (2014) Dysocclusion after maxillofacial trauma: a 42 year analysis. J Craniomaxillofac Surg 42(7):1083–1086CrossRef

26.

Bins A, Oomens MA, Boffano P, Forouzanfar T (2015) Is there enough evidence to regularly apply bone screws for intermaxillary fixation in mandibular fractures? J Oral Maxillofac Surg 73(10):1963–1969CrossRef

27.

Ruslin M, Wolff J, Boffano P, Brand HS, Forouzanfar T (2015) Dental trauma in association with maxillofacial fractures: an epidemiological study. Dent Traumatol 31(4):318–323CrossRef

28.

Ruslin M, Boffano P, ten Brincke YJ, Forouzanfar T, Brand HS (2016) Sport-Related Maxillo-Facial Fractures. J Craniofac Surg 27(1):e91–e94CrossRef

29.

Kommers SC, Boffano P, Forouzanfar T (2015) Consensus or controversy? The classification and treatment decision-making by 491maxillofacial surgeons from around the world in three cases of a unilateral mandibular condylefracture. J Craniomaxillofac Surg 43(10):1952–1960CrossRef

30.

Saponaro A, Stecco A, Brucoli M, Armienti F, Stellin L, Favano F, Benech A, Carriero A (2009) Magnetic resonance imaging in the postsurgical evaluation of patients with mandibular condyle fractures treated using the transparotid approach: our experience. J Oral Maxillofac Surg 67(9):1815–1820CrossRef

Title: The relationship between the status and position of third molars and the presence of mandibular angle and condylar fractures
Authors: Matteo Brucoli
Irene Romeo
Andrea Pezzana
Paolo Boffano
Arnaldo Benech
Publication date: 01-03-2020
Publisher: Springer Berlin Heidelberg
Keywords: Facial Fracture
Facial Fracture
Published in: Oral and Maxillofacial Surgery / Issue 1/2020
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-019-00811-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The relationship between the status and position of third molars and the presence of mandibular angle and condylar fractures

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2020

Rehabilitation strategies in maxillofacial trauma: systematic review and meta-analysis

Idiopathic spontaneous sublingual hematoma: a case report and literature review

Comparison of biting force when using a combination of one microplate and one miniplate versus two miniplates for fixation of parasymphyseal mandibular fracture: the use of microplates for parasymphyseal mandibular fracture

Long-term quality of life after surgery of head and neck cancer with microvascular reconstruction: a prospective study with 4.9-years follow-up

A single-center experience in the management of head and neck lymphangiomas

Change in allodynia of patients with post-lingual nerve repair iatrogenic lingual nerve disorder