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Late treatment of mandible fracture after third molar removal
Author(s) -
Maísa Pereira da Silva,
Kim Henderson Carmo Ribeiro,
Mateus Diego Pavelski,
Izabella Sol,
Laís Kawamata de Jesus,
Henrique Hadad,
Ana Paula Farnezi Bassi,
Leonardo Pérez Faverani,
Alessandra Marcondes Aranega,
Idelmo Rangel GarciaJúnior,
Osvaldo MagroFilho,
Francisley Ávila Souza
Publication year - 2022
Publication title -
research, society and development
Language(s) - English
Resource type - Journals
ISSN - 2525-3409
DOI - 10.33448/rsd-v11i2.25673
Subject(s) - medicine , molar , mandible (arthropod mouthpart) , dentistry , internal fixation , trismus , surgery , botany , biology , genus
Surgical management of impacted third molars is a treatment performed by dentists and its indicated for various conditions, among the indications has the prevention of mandibular fracture, but this is a factor that has been discussed and is controversial. Fractures caused by a third molar can occur, and on the other hand, the fractures after or during the management of impacted third molar are a possible complication. Surgical planning as the indication to the surgery has to be performed to avoid complications as the fracture. Thus this study aims to report a case about a mandible fracture after third molar extraction, presenting edema, pain, and restriction in mandible mobility in 01-day follow-up. A 27-year-old female was referred to the oral and maxillofacial surgery service of the Santa Casa Hospital of Araçatuba (Araçatuba, Brazil), reporting dental history of third molar removal, with immediately chief complaints. In the assessment, the patient presented edema, pain, malocclusion, and restriction in mandible mobility, and the panoramic X-ray showed a mandible fracture with displacement. The patient underwent surgery under general anesthesia to open reduction with internal fixation (ORIF) through an intraoral approach. On the follow-up, the patient showed an improvement in mouth opening and mandibular mobility without pain or infection signs. The panoramic X-Rays showed us the bone fracture healing.

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