Mandibular angle fractures. Treatment methods and clinical experience

A fracture through the angle of the mandible is one of the most common maxillofacial injuries. Factors such as the area of biomechanics, thinner bone cross-sectional area and the presence of impacted teeth influence the occurrence of this injury. The treatment of these fractures is controversial. The causes of injury and the significant incidence of complications increases the doubts in the election. There are several trends that vary from orthopedic treatment to open treatment with different types and number of osteosynthesis plates. With respect to the rigid fixation, there are two clear trends; one group claims that the plate and screws should provide sufficient rigidity to the fragments to prevent their mobility during the performance. This group includes surgeons AO/ASIF. On the other side is the group that is based on the principles of Michelet and Champy. This group believes the use of a monocortical miniplate with screws installed via intraoral to be enough if we take into consideration the “ideal lines of osteosynthesis” postulated by the same authors. This research comprises a comprehensive review of the different techniques used for the rehabilitation of these fractures. It also covers the clinical experience of the Carlos Van Buren Hospital regarding mandibular angle fractures bilateral or unilateral, and the different results of the treatments performed.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Mandibular angle fractures. Treatment methods and clinical experience
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