Late mandibular fracture after third molar surgery: A survey of Connecticut oral and maxillofacial surgeons

Purpose: This study investigated the incidence and causative factors involved in late mandibular fractures after third molar surgery. Materials and Methods: A questionnaire was sent to 106 oral and maxillofacial surgeons in Connecticut, asking them about their experience with late fractures over a 1...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 2000-08, Vol.58 (8), p.858-861
Hauptverfasser: Perry, P.Anthony, Goldberg, Morton H.
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creator Perry, P.Anthony
Goldberg, Morton H.
description Purpose: This study investigated the incidence and causative factors involved in late mandibular fractures after third molar surgery. Materials and Methods: A questionnaire was sent to 106 oral and maxillofacial surgeons in Connecticut, asking them about their experience with late fractures over a 10-year period. Results: A 79% response indicated 28 fractures occurring in 611,000 extractions, for an incidence of 0.0046%. The cause was found to be multifactorial and included age, gender, type of impaction, preexisting infection, and failure to maintain a soft diet in the postoperative period. Most fractures occurred between the 1st and 21st days postoperatively. Three of the fractures resulted in malpractice litigation. Conclusion: Men over the age of 25 years should be specifically informed about the risk of late mandible fracture after third molar surgery. This group of patients should be educated about the quality and duration of a soft diet. © 2000 American Association of Oral and Maxillofacial Surgeons
doi_str_mv 10.1053/joms.2000.8204
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Materials and Methods: A questionnaire was sent to 106 oral and maxillofacial surgeons in Connecticut, asking them about their experience with late fractures over a 10-year period. Results: A 79% response indicated 28 fractures occurring in 611,000 extractions, for an incidence of 0.0046%. The cause was found to be multifactorial and included age, gender, type of impaction, preexisting infection, and failure to maintain a soft diet in the postoperative period. Most fractures occurred between the 1st and 21st days postoperatively. Three of the fractures resulted in malpractice litigation. Conclusion: Men over the age of 25 years should be specifically informed about the risk of late mandible fracture after third molar surgery. 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Orthodontics ; Medical sciences ; Middle Aged ; Molar, Third - surgery ; Patient Compliance ; Risk Factors ; Sex Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surveys and Questionnaires ; Tooth Extraction - adverse effects ; Tooth Extraction - statistics &amp; numerical data ; Traumas. 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Materials and Methods: A questionnaire was sent to 106 oral and maxillofacial surgeons in Connecticut, asking them about their experience with late fractures over a 10-year period. Results: A 79% response indicated 28 fractures occurring in 611,000 extractions, for an incidence of 0.0046%. The cause was found to be multifactorial and included age, gender, type of impaction, preexisting infection, and failure to maintain a soft diet in the postoperative period. Most fractures occurred between the 1st and 21st days postoperatively. Three of the fractures resulted in malpractice litigation. Conclusion: Men over the age of 25 years should be specifically informed about the risk of late mandible fracture after third molar surgery. This group of patients should be educated about the quality and duration of a soft diet. © 2000 American Association of Oral and Maxillofacial Surgeons</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bite Force</subject><subject>Connecticut</subject><subject>Dentistry</subject><subject>Diet - adverse effects</subject><subject>Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology</subject><subject>Female</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibular Fractures - etiology</subject><subject>Mastication</subject><subject>Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Molar, Third - surgery</subject><subject>Patient Compliance</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surveys and Questionnaires</subject><subject>Tooth Extraction - adverse effects</subject><subject>Tooth Extraction - statistics &amp; numerical data</subject><subject>Traumas. 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Foreign bodies. Diseases due to physical agents: otorhinolaryngology</topic><topic>Female</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Mandibular Fractures - etiology</topic><topic>Mastication</topic><topic>Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Molar, Third - surgery</topic><topic>Patient Compliance</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surveys and Questionnaires</topic><topic>Tooth Extraction - adverse effects</topic><topic>Tooth Extraction - statistics &amp; numerical data</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Perry, P.Anthony</creatorcontrib><creatorcontrib>Goldberg, Morton H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Perry, P.Anthony</au><au>Goldberg, Morton H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late mandibular fracture after third molar surgery: A survey of Connecticut oral and maxillofacial surgeons</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2000-08-01</date><risdate>2000</risdate><volume>58</volume><issue>8</issue><spage>858</spage><epage>861</epage><pages>858-861</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose: This study investigated the incidence and causative factors involved in late mandibular fractures after third molar surgery. Materials and Methods: A questionnaire was sent to 106 oral and maxillofacial surgeons in Connecticut, asking them about their experience with late fractures over a 10-year period. Results: A 79% response indicated 28 fractures occurring in 611,000 extractions, for an incidence of 0.0046%. The cause was found to be multifactorial and included age, gender, type of impaction, preexisting infection, and failure to maintain a soft diet in the postoperative period. Most fractures occurred between the 1st and 21st days postoperatively. Three of the fractures resulted in malpractice litigation. Conclusion: Men over the age of 25 years should be specifically informed about the risk of late mandible fracture after third molar surgery. This group of patients should be educated about the quality and duration of a soft diet. © 2000 American Association of Oral and Maxillofacial Surgeons</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10935584</pmid><doi>10.1053/joms.2000.8204</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Biological and medical sciences
Bite Force
Connecticut
Dentistry
Diet - adverse effects
Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology
Female
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Male
Mandibular Fractures - etiology
Mastication
Maxillofacial surgery. Dental surgery. Orthodontics
Medical sciences
Middle Aged
Molar, Third - surgery
Patient Compliance
Risk Factors
Sex Factors
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
Tooth Extraction - adverse effects
Tooth Extraction - statistics & numerical data
Traumas. Diseases due to physical agents
title Late mandibular fracture after third molar surgery: A survey of Connecticut oral and maxillofacial surgeons
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