Characteristics of iatrogenic mandibular fractures associated with tooth removal: review and analysis of 189 cases

Abstract Fracture of the mandible during exodontia is fortunately rare, but is under-reported. A review identified 189 documented cases of iatrogenic fractures of the mandible (IFM) associated with the removal of teeth. The reasons for its occurrence are thought to be multifactorial and include age,...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2011-10, Vol.49 (7), p.567-572
Main Authors: Bodner, Lipa, Brennan, Peter A, McLeod, Niall M
Format: Article
Language:English
Subjects:
Age Factors
Biological and medical sciences
Complication
Dentistry
Female
Humans
Iatrogenic Disease
Iatrogenic fracture
Injuries of the limb. Injuries of the spine
Intraoperative Complications
Male
Mandible
Mandibular Diseases - complications
Mandibular Fractures - etiology
Medical sciences
Otorhinolaryngology. Stomatology
Postoperative Complications
Risk Factors
Sex Factors
Surgery
Tooth extraction
Tooth Extraction - adverse effects
Tooth, Impacted - classification
Traumas. Diseases due to physical agents
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Summary:Abstract Fracture of the mandible during exodontia is fortunately rare, but is under-reported. A review identified 189 documented cases of iatrogenic fractures of the mandible (IFM) associated with the removal of teeth. The reasons for its occurrence are thought to be multifactorial and include age, sex, degree of tooth impaction, relative volume of the tooth in the jaw, pre-existing infection or bony lesions, failure to maintain a soft diet in the early postoperative period, and the surgical technique. The clinical experience of the surgeon does not seem to have an important role. We review the aetiology of iatrogenic mandibular fracture and summarise the ways of minimising this complication.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2010.09.007