Surgical significance of the lower third wisdom tooth in relation to management of mandible angle fracture

Aso, Muhammed; Hawrami, Falah Abdulla

	Surgical significance of the lower third wisdom tooth in relation to management of mandible angle fracture
Sulaimani Dental Journal
Article 7, Volume 4, Special Issue, 2017, Pages 7-7 PDF (175.24 K)
Authors
Muhammed Aso; Falah Abdulla Hawrami
Abstract
Objectives: Mandibular fracture is the most common fracture in facial injuries, with angular fracture being the most prevalent for various reasons. The aims of this study were to identify the incidence of mandibular angle fracture among a Kurdish population and the importance of the lower third molar in the treatment of mandibular angle fracture. Patients and Methods: 45 patients who attended Sulaimani teaching hospital, Sulaimani emergency hospital and Rizgary teaching hospital in Hawler from April 2016 to February 2017 with mandible angle fractures. A pre-designed questionnaire was used to collect the data from patients. Results: Amongst these 45 patients, 77.8% were male and 22.2% were female, with a mean age of 25.29 years. Road traffic accident (RTA) (55.6%) and assault (15.6%) were the most common causes of mandibular fracture. Undisplaced fracture (57.8%) and unilateral fracture (95.6%) were the more common forms. Furthermore, mandibular angle fractures were more associated with impacted 3rd molar (63.8%) and mesioangular impaction (46.7%). Mandibular angle fractures mostly coexist with Parasymphysis fracture (37%). Close reduction with intermaxillary fixation (64.4%) was the most used treatment for mandibular angle fracture and 61% of teeth in the line of fracture were retained. Conclusion: Mandible angle fractures were more common in males and the age group 20-30 years. RTA was still the most common cause of angle fracture with presence of lower wisdom teeth. Impacted lower third molar increases the risk of angle fracture and close reduction is the treatment of choice, especially for undisplaced fracture.

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