Arch Craniofac Surg.  2019 Dec;20(6):376-381. 10.7181/acfs.2019.00493.

Relationship between mandible fractures and third molars

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Seoul, Korea. 20040059@kuh.ac.kr

Abstract

BACKGROUND
This study was conducted to determine the relationship between third molar (M3) and mandibular fracture.
METHODS
Patients with unilateral mandibular angle or condyle fractures between 2008 and 2018 were evaluated retrospectively. Medical records were reviewed regarding the location of fractures, and panoramic radiographs were reviewed to discern the presence and position of ipsilateral mandibular third molars (M3). We measured the bony area of the mandibular angle (area A) and the bony area occupied by the M3 (area B) to calculate the true mandibular angle bony area ratio (area A-B/area A× 100).
RESULTS
The study consisted of 129 patients, of which 60 (46.5%) had angle fractures and 69 (53.5%) had condyle fractures. The risk of angle fracture was higher in the presence of M3 (odds ratio [OR], 2.2; p< 0.05) and the risk of condyle fracture was lower in the presence of M3 (OR, 0.45; p< 0.05), than in the absence of M3. The risk of angle fracture was higher in the presence of an impacted M3 (OR, 0.3; p< 0.001) and the risk of condyle fracture was lower in the presence of an impacted M3 (OR, 3.32; p< 0.001), than in the presence of a fully erupted M3. True mandibular angle bony area ratio was significantly lower in the angle fractures than in the condyle fractures (p= 0.003).
CONCLUSION
Angle fractures had significantly lower true mandibular angle bony area ratios than condyle fractures. True mandibular angle bony area ratio, a simple and inexpensive method, could be an option to predict the mandibular fracture patterns.

Keyword

Impacted tooth; Mandibular fracture; Third molar

MeSH Terms

Humans
Mandible*
Mandibular Fractures
Medical Records
Methods
Molar, Third*
Retrospective Studies
Tooth, Impacted
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