Articles: mandibular-fractures.
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Appropriate and timely management of traumatic injury to the teeth and their supporting structures plays an important role in determining long-term outcome. This article reviews the relevant anatomy and describes the initial diagnosis and treatment approach to dentoalveolar traumatic injury and fractures of the mandible. Procedures for initial stabilization and appropriate referral are also discussed.
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Oral Maxillofac Surg Clin North Am · May 2009
ReviewManagement of comminuted fractures of the mandible.
Comminuted fractures of the mandible are unusual but not rare. They are complex injuries with a high complication rate. ⋯ Traditional management with closed techniques is noted for good long-term results, but may involve an extended period of treatment. Treatment with open reduction and rigid internal fixation significantly shortens the course of treatment and simplifies the convalescence.
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Review
The treatment of condylar fractures: to open or not to open? A critical review of this controversy.
The treatment of condylar process fractures has generated a great deal of discussion and controversy in oral and maxillofacial trauma and there are many different methods to treat this injury. For each type of condylar fracture, the techniques must be chosen taking into consideration the presence of teeth, fracture height, patient's adaptation, patient's masticatory system, disturbance of occlusal function, deviation of the mandible, internal derangements of the temporomandibular Joint (TMJ) and ankylosis of the joint with resultant inability to move the jaw, all of which are sequelae of this injury. Many surgeons seem to favor closed treatment with maxillomandibular fixation (MMF), but in recent years, open treatment of condylar fractures with rigid internal fixation (RIF) has become more common. The objective of this review was to evaluate the main variables that determine the choice of method for treatment of condylar fractures: open or closed, pointing out their indications, contra-indications, advantages and disadvantages.
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The majority of mandibular fractures occur in young males aged 16-30 years. As with all traumas, the history and examination cannot be over emphasised as diagnoses can be made with these tools. It is important when taking an accurate history to ascertain the mode and mechanism of injury (fall, punch, road traffic accident), and the magnitude and direction of the force involved (high or low velocity impact).
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Minerva stomatologica · Apr 2004
ReviewMaxillary post-traumatic outcome correction literature review and our experience. Part I: maxillary bone non-unions-"poor bone positioning".
Still today, there is no classification of non-unions in maxillofacial traumatology. There is a broad spectrum of definitions that simultaneously describe the pathological conditions and functional implications determined by the anatomical location of the fractures and the time factor. In this article the authors describe a literature review about bone non-union classification. ⋯ The authors also talk about "poor bone positioning". This factor describes the incorrect anatomical position of the bone fragments despite perfectly normal healing according to Gruss. In this article they also discuss about the treatment of non-unions and the treatment of occlusal alterations caused by poor post-traumatic bone positioning.