Maxillofacial Plastic and Reconstructive Surgery

  • 제28권1호
  • /
  • Pages.49-57
  • /
  • 2006
  • /
  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

하악 제3대구치가 하악 우각부 골절에 미치는 영향

THE INFLUENCE OF MANDIBULAR THIRD MOLAR ON MANDIBULAR ANGLE FRACTURE

  • 조성필 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 이재훈 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 김철환 (단국대학교 치과대학 구강악안면외과학교실)
  • Cho, Sung-Pil (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Dankook University) ;
  • Lee, Jae-Hoon (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Dankook University) ;
  • Kim, Chul-Hwan (Dept. of Oral & Maxillofacial Surgery, School of Dentistry, Dankook University)
  • 발행 : 2006.01.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Mandibular fractures have higher incidence rate compared to facial bone fractures because of relatively prominent form. Specially, mandibular angle fractures were known as common fracture site because of morphological anatomic structure. The mandibular third molar appears to be the most frequent impacted tooth. The mandibular third molar have influence on mandibular angle fractures according to it's eruption state. Also, the mandibular angle fracture including the third molar may influence on post operative infection whether the third molar is in impacted or extracted state when reduction of fracture site is operated. The presence or absence and degree of impaction of the mandibular third molar were assessed for each patient and were related to the occurrence of the mandibular angle fracture. The extraction or non extraction of the mandibular third molar were related to the occurrence of the post operative infection in the reduction of mandibular angle fractures. In the presence of mandibular third molar, the possibility of mandibular angle fractures were relatively common. When viewing the mandibular third molar at occlusal plane, the possibility of mandibular angle fractures were high in the class C group. The possibility of mandibular angle fractures were high in the mesial angulation and partial impaction. There was a statistically significant difference(P<0.05). In complete erupted mandibular third molar, the possibility of post operative infection occurs quite often, but there was no statistical significant difference(P>0.05). In the extracted or non extracted of mandibular third molar, the post operative infection showed no statistical significant difference(P>0.05). With the results mentioned above, mandibular third molar was significantly more susceptible to mandibular angle fracture. In the reduction of mandibular angle fracture, it was recommended that mandibular third molar should be extracted especially in case of pericoronitis, periodontitis and other infections.

키워드

참고문헌

  1. Ellis E, Moos KF : Ten years of mandibular fractures : an analysis of 2137 cases. Oral Surg Oral Med Oral Pathol 59 : 120, 1985 https://doi.org/10.1016/0030-4220(85)90002-7
  2. Weiss L : Static loading of the mandible. Oral Surg Oral Med Oral Pathol 19 : 253, 1965 https://doi.org/10.1016/0030-4220(65)90301-4
  3. Seung-Hwan Oh, Yeo-Gab Kim : Dynamic 3-dimensional finite element analysis of mandibular fracture mechanism. J Kor Maxillofac Plast Reconst Surg 18 : 470, 1996
  4. Azevedo AB, Trent RB, Ellis A : Population-based analysis of 10,766 hospitalizations for mandibular fractures in california, 1991 to 1993. I Trauma 45(6) : 1084, 1998 https://doi.org/10.1097/00005373-199812000-00020
  5. Haug RH, Prather J, Indresano AT : An epidermiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg 48(9) : 926, 1990 https://doi.org/10.1016/0278-2391(90)90004-L
  6. Ueno T, Oka T, Miyagawa Y et al. : Clinical and experimental studies on the location and lines of mandibular fractures. Bulletin of the Tokyo Medical and Dental university. 4 : 245, 1957
  7. Rubin MM, Koll TJ, Sadoff RS : Morbidity associated with incompletely erupted third molar in the line of mandibular fractures. J Oral Maxillofac Surg 48 : 1045, 1990 https://doi.org/10.1016/0278-2391(90)90286-B
  8. Lewis KG, Perutsea SC : The complex mandibular. Am J Surg 97 : 283, 1959 https://doi.org/10.1016/0002-9610(59)90301-0
  9. Schneider SS, Stern M : Teeth in the line of mandibular fractures. J Oral Surg 29 : 107, 1971
  10. Shettym V, Freymiller E : Teeth in the line of fracture : A review. J Oral Maxillofac Surg 47 : 1303, 1989 https://doi.org/10.1016/0278-2391(89)90729-5
  11. Peterson LJ, Ellis E, Hupp JR et al : Pell & Gregory classification. Contemporary oral and maxillofacial surgery. 1993, p.229
  12. Shiller WR : Positional changes in mesio-angular inpacted mandibular third molars during a year. J Am Dent Assoc 99 : 460, 1979
  13. Ralph JP, Caputo AA : Analysis to stress pattern in the human mandible. J Dent Res 54 : 814, 1977
  14. Fridrich KL, Dena VG, Olson RA : Changing trends with mandibular fractures : a review of 67 cases. J Oral Maxillofac Surg 50 : 586, 1992 https://doi.org/10.1016/0278-2391(92)90438-6
  15. Reitzik M, Lownie JF, Jones C : Experimental fractures of monkey mandibles. Int J Oral Surg 7 : 100, 1978 https://doi.org/10.1016/S0300-9785(78)80054-4
  16. Tevepaugh DB, Dodson TB : Are mandibular third molars a risk factor for angle fractures- A retrospective cohort study. J Oral Maxillofac Surg 53 : 646, 1995 https://doi.org/10.1016/0278-2391(95)90160-4
  17. Safdar N, Meechan JG : Relationship between fractures of mandibular angle and the presence and state of eruption of the lower third molar. Oral Surg Oral Med Oral Pathol 79 : 680, 1995 https://doi.org/10.1016/S1079-2104(05)80299-9
  18. David R, Ellis E, Thomas B : Mandibular third molars and angle fractures. J Oral Maxillofac Surg 62 : 1076, 2004 https://doi.org/10.1016/j.joms.2004.04.012
  19. Joyce T, Thomas B : The effect of mandibular third molar presence and position on the risk of an angle fracture. J Oral Maxillofac Surg 58 : 394, 2000 https://doi.org/10.1016/S0278-2391(00)90921-2
  20. Jasser M, Abdelwahhab A : Is the mandibular thied molar a risk factor for mandibular angle fracture- Oral Surg Oral Med Oral Pathol Oral Radiol Endod 89 : 143, 2000 https://doi.org/10.1067/moe.2000.103527
  21. James C, Ellis E, Thomas B : Do mandibular third molars alter the risk of angle fracture- J Oral Maxillofac Surg 60 : 514, 2002 https://doi.org/10.1053/joms.2002.31847
  22. Meisami T, Sojat A, Lawrence C et al : Impacted third molars and risk of angle fracture. Int J Oral Maxillofac Surg 31 : 140, 2002 https://doi.org/10.1054/ijom.2001.0215
  23. Thoma KH : Oral Surgery. 4th Ed, Mosby CO, St Louis, 1966, p.437
  24. Bradley RL : Treatment of fractured mandible. Amer Surg 21 : 289, 1965
  25. Schonberger A : Behandlung der Zahne im Bruchspalt. Forschr Kiefer Gesichtschir 2 : 108, 1956
  26. Choung R, Donoff RB, Guralnick WG : A retrospective analysis of 327 mandibular fracture. J Oral Maxillofac Surg 41 : 305, 1983 https://doi.org/10.1016/0278-2391(83)90297-5
  27. Wagner WF, Neal DC, Alpert B : Morbidity associated with extraoral open reduction of mandibular fractures. J Oral Surg 37 : 97, 1979
  28. Neal DC, Wagner W, Alpert B : Morbidity associated with teeth in the line of mandibular fractures. J Oral Surg 36 : 859, 1978
  29. Kanberg KE, Ridell A : Prognosis of teeth involved in the line of mandibular fractures. Int J Oral Surg 8 : 63, 1979 https://doi.org/10.1016/S0300-9785(79)80040-X
  30. Amaratunga NA : The effect of teeth in the line of mandibular fractures on healing. J Oral Maxillofac Surg 47 : 1303, 1989 https://doi.org/10.1016/0278-2391(89)90729-5
  31. Wolujewicz MA : Fractures of the mandible involving the third molar teeth : An analysis of 47 cases. Br J Oral Surg 18 : 125, 1980 https://doi.org/10.1016/0007-117X(80)90028-1
  32. James RB, Fredrickson C, Kent JN : Prospective study of mandibular fractures. J Oral Surg 39 : 275, 1981
  33. Ellis E : Outcomes of patients with teeth in the line of mandibular angle fractures treated with stable internal fixation. J Oral Maxillofac Surg 60 : 863, 2002 https://doi.org/10.1053/joms.2002.33852