Effect of Mandibular Third Molar Presence and Position on the Risk of Mandibular Angle Fracture

M. M. Akhtar, M. A. Haque, Sharmin Aktar Soma, Shahida Begum, S. Gain, Showkat Mamun, Km Ahsan Kabir
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Abstract

Background: Mandibular third molar presence and position may have an effect on the risk of mandibular angle fracture. Objective: The purpose of the present study was to see the effect of mandibular third molar presence and position on the risk of mandibular angle fracture. Methodology: This cross-sectional study was conducted in four centers in Bangladesh from July 2009 to June 2010 for a period of one year. The mandibular angle fractured patients were selected for the study. The medical records and panoramic radiographs of patients with mandibular angle fracture were examined. The presence or absence and degree of impaction of the mandibular third molars were assessed for each patient and related to the occurrence of fracture of the mandibular angle. Data were also collected for age, sex, mechanism of injury, number and location of mandibular angle fractures. Results: A total number of 100 patients with mandibular angle fracture were analyzed. The mean age is 44.36±21.9 years. Among 100 cases, 75 cases had lower third molars and 25 cases had without lower third molars. Within the 75 patients, 64 cases had impacted third molars while 11 cases had erupted third molars. Among the impacted group, 64.1% cases were mesioangular, 15.6% cases were horizontal, 12.5% cases were distoangular and 7.8% cases were vertical. Conclusion: In conclusion mandibular angle that contains an impacted lower third molar is more susceptible to fracture when exposed to trauma than an angle without lower third molar. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):181-184
下颌第三磨牙的存在和位置对下颌角骨折风险的影响
背景:下颌第三磨牙的存在和位置可能对下颌角骨折的风险有影响。目的:观察下颌第三磨牙的存在和位置对下颌角骨折风险的影响。方法:本横断面研究于2009年7月至2010年6月在孟加拉国的四个中心进行,为期一年。选取下颌角骨折患者作为研究对象。对下颌骨角骨折患者的病历和x线片进行分析。评估每位患者下颌第三磨牙的存在与否和嵌塞程度,并与下颌角骨折的发生有关。同时收集年龄、性别、损伤机制、下颌角骨折的数量和位置等数据。结果:对100例下颌角骨折患者进行分析。平均年龄44.36±21.9岁。100例患者中有下第三磨牙75例,无下第三磨牙25例。75例患者中,64例第三磨牙嵌生,11例第三磨牙出牙。撞击组中,中角64.1%,横角15.6%,异角12.5%,竖角7.8%。结论:含阻生下第三磨牙的下颌角比不含下第三磨牙的下颌角更易发生骨折。孟加拉国国家神经科学研究所杂志,2022年7月;8(2):181-184
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