CC BY-NC-ND 4.0 · Eur J Dent 2013; 07(02): 212-217
DOI: 10.4103/1305-7456.110188
Original Article
Dental Investigation Society

Qualitative and quantitative assessment of relationship between mandibular third molar and angle fracture on North Indian population: A clinico-radiographic study

Suresh Yadav
1   Departments of Oral and Maxillofacial Surgery, Kalka Dental College and Hospital, Meerut, Uttar Pradesh, India
,
Shallu Tyagi
2   Departments of Pedodontics and Preventive Dentistry, Kalka Dental College and Hospital Meerut, Uttar Pradesh, India
,
Naveen Puri
3   Departments of Oral Pathology, Kalka Dental College and Hospital Meerut, Uttar Pradesh, India
,
Prince Kumar
4   Departments of Prosthodontics, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, India
,
Puneet Kumar
5   Departments of Public Health Dentistry, Shree Bankey Bihari Dental College and Research Centre, Ghaziabad, India
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

ABSTRACT

Objective: To assess the relationship between impacted mandibular third molar presence and the risk for mandibular angle fracture with the effect of various positions of mandibular third molar and the risk of mandibular angle fracture. Materials and Methods: In the North Indian territory, a total of 289 patients with mandibular angle fractures were studied and evaluated for the possible relationship with impacted third molar on the basis of clinical and panoramic radiographical findings. Results: Results that confirmed the highest risk for mandibular angle fracture was associated with mesioangular angulations (45.42%) followed by vertical (26.34%), distoangular in sequence and least risk was found with bucco-version angulations (2.67%) according to Winter′s classification. Additionally, the highest risk of mandibular angle fracture was reported with partially erupted third molar (47.75%), followed by erupted (23.53%) and unerupted third molar (19.38%). Conclusion: The risk for mandibular angle fracture is not only affected by status of eruption, angulations, position, number of roots present in third molar but also by the distance of mandibular third molar from inferior border of mandible and the percentage of remaining amount of bone at the mandibular angle region.

 
  • REFERENCES

  • 1 Breasted JH. The Edwin Smith surgical papyrus. Chicago: University of Chicago Press; 1930
  • 2 Meisami T, Sajot A, Sandor GK, Lawrence HP, Clokie CM. Impacted third molars and risk of angle fracture. Int J Oral Maxillofac Surg 2002; 31: 140-4
  • 3 Ma’aita J, Alwrikat A. Is the mandibular third molar a risk factor for mandibular angle fracture?. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 89: 143-6
  • 4 Moore JR. Principles of oral surgery. 2nd ed. Manchester: Machester University Press; 1976: p. 175
  • 5 Fuselier JC, Ellis 3rd EE, Dodson B. Do mandibular third molars alter the risk of angle fracture?. J Oral Maxillofac Surg 2002; 60: 514-8
  • 6 Takada H, Abe S, Tamatsu Y, Mitarashi S, Saka H, Ide Y. Three-dimensional bone microstructures of the mandibular angle using micro-CT and finite element analysis: Relationship between partially impacted mandibular third molars and angle fractures. Dent Traumatol 2006; 22: 18-24
  • 7 Reitzik M, Lownie JF, Cleaton-Jones P, Austin J. Experimental fractures of monkey mandibles. Int J Oral Maxillofac Surg 1978; 7: 100-3
  • 8 Wolujewicz MA. Fractures of the mandible involving the impacted third molar tooth: An analysis of 47 cases. Br J Oral Maxillofac Surg 1980; 18: 125-31
  • 9 Iida S, Hassfeld S, Reuther T, Nomura K, Muhling J. Relationship between the risk of mandibular angle fractures and the status of incompletely erupted mandibular third molar. J Cranio Maxillofac Surg 2005; 33: 158-63
  • 10 Winter GB. Impacted third molars. St Lpuis: American Medical Bookm Co; 1926: p. 241-79
  • 11 Pell GJ, Gregory GT. Report on ten year study of a tooth division technique for removal of impacted teeth. Am J Orhtod 1942; 28: 660-6
  • 12 Oikarinen VJ, Malmström M. Jaw fractures. Suom Hammaslaak Toim 1969; 65: 95
  • 13 Halazonetis JA. The weaker regions ot the mandible. Br J Oral Maxillofac Surg 1968; 6: 37-48
  • 14 Safdar N, Meechan JG. Relationship between fractures of the mandibular angle and the presence and state of eruption of the lower third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79: 680-4
  • 15 Tevepaugh DB, Dodson TB. Are mandibular third molars a risk factors for angle fracture? A retrospective cohort study. J Oral Maxillofac Surg 1995; 53: 646-9
  • 16 Uneo T, Oka T, Miyagawa Y, Kobayashi Y. Clinical and experimental studies on the location and lines of mandibular fractures. Bull Tokyo Med Dent Univ 1957; 4: 245-51
  • 17 Ellis 3rd E, Moos KF, El-Attar A, Arbor A. Ten years of mandibular fractures: An analysis of 2,137 cases. J Oral Surg 1985; 59: 120-9
  • 18 Meechan JG. The effect of mandibular third molar presence and position on the risk of an angle fracture. J Oral Maxillofac Surg 2000; 58: 399
  • 19 Tams J, Loon JP, Rozema FR, Otten E, Bos RR. A three-dimensional study of loads across the fracture for different fracture sites of the mandible. Br J Oral Maxillofac Surg 1996; 34: 400-5
  • 20 Lee JT, Dodson TB. The effect of mandibular third molar presence and position on the risk of an angle fracture. J Oral Maxillofac Surg 2000; 58: 394-8