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Evaluation of Teeth in Line of Mandibular Fractures Treated with Stable Internal Fixation

Overview of attention for article published in Journal of Maxillofacial and Oral Surgery, December 2016
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Title
Evaluation of Teeth in Line of Mandibular Fractures Treated with Stable Internal Fixation
Published in
Journal of Maxillofacial and Oral Surgery, December 2016
DOI 10.1007/s12663-016-0993-4
Pubmed ID
Authors

K. O. Bang, P. K. Pandilwar, S. R. Shenoi, N. J. Budhraja, P. Ingole, V. S. Kolte, A. Garg

Abstract

To determine whether retention or removal of teeth in line of mandibular fractures affects the incidence of postoperative complications. To evaluate the fate of teeth retained in mandibular fractures based on location of fracture line in relation to apical foramen and lateral periodontium of retained tooth. 51 mandibular fracture sites in 39 patients were treated by open reduction and internal fixation using miniplates. Teeth in line of fracture were removed if showed extensive caries, excessive mobility of tooth, or root fracture. Accordingly patients were divided into two groups, group I tooth removed (15 sites) and group II tooth retained (36 sites). Teeth retained in fracture line were classified based on position of the fracture in relation to apical foramen and the lateral periodontium of involved tooth estimated from preoperative panoramic radiograph into four types. Postoperative periodic follow up done for 1 year and seen for incidence of postoperative complications and fate of tooth in line of fracture. Out of 36 fracture sites in which teeth were retained 5 (13.89%) showed postoperative complications, and out of 15 fracture sites in which teeth were removed 3 (20%) showed postoperative complications. Out of 36 fracture sites in which tooth was retained we found in 3 cases fracture line passed through 2 adjacent teeth. Thus we had in total 39 teeth in fracture line out of them 26 required no treatment 9 required endodontic treatment and 4 teeth required extraction. Need for extraction and endodontic treatment was found more in type I and type III relation. There is an increased risk for postoperative complications when a tooth is removed, although it is not statistically significant. Evaluation of fate of retained teeth showed better prognosis of teeth in type II cases than type III and type I cases. Results of this study leads to conclusions that teeth associated with mandibular fractures need not be removed on prophylactic basis.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 26 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 26 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 4 15%
Student > Doctoral Student 3 12%
Student > Postgraduate 2 8%
Other 2 8%
Professor > Associate Professor 2 8%
Other 7 27%
Unknown 6 23%
Readers by discipline Count As %
Medicine and Dentistry 15 58%
Agricultural and Biological Sciences 1 4%
Social Sciences 1 4%
Physics and Astronomy 1 4%
Unknown 8 31%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 January 2017.
All research outputs
#20,402,251
of 22,952,268 outputs
Outputs from Journal of Maxillofacial and Oral Surgery
#195
of 259 outputs
Outputs of similar age
#355,340
of 420,838 outputs
Outputs of similar age from Journal of Maxillofacial and Oral Surgery
#4
of 5 outputs
Altmetric has tracked 22,952,268 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 259 research outputs from this source. They receive a mean Attention Score of 4.3. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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