SHOULD THE TEETH IN THE LINE OF JAW FRACTURES BE EXTRACTED?

Yıl 2015, Cilt: 49 Sayı: 1, 61 - 65, 24.03.2015

Mert Tayşi Sami Yıldırım

https://doi.org/10.17096/jiufd.98462

Öz

Fractures in the jaw bones could present themselves differently according to the strength of the force and the bone’s ability to absorb the impact. The location and type of the fracture is important as well as the cause of the fracture (traffic accidents, melee trauma, pathologic changes). Pre-existing pathologic lesions, position of the teeth and the way they are affected by the fracture have a great influence on the prognosis. Whether to extract the teeth in the line of a fracture has always been controversial among dentists. While some researchers advocate that such teeth should be extracted to avoid complications, others believe that retaining these teeth would benefit the patient more. Most clinicians prefer to treat their patients depending on their own previous experiences. This article aims to establish a guideline on assessing whether to retain or extract the teeth in the fracture line.

Anahtar Kelimeler

Mandibular fracture; teeth in the line of fracture; healing complications

Kırık Hattındaki Dişler Çekilmeli mi?

Öz

Çenelerde görülen kırıklar, kırığa sebep olan kuvvetin şiddetine ve kemiğin bu kuvveti ne kadar absorbe edebildiğine göre değişik tiplerde ortaya çıkabilmektedir. Kırığın yeri ve tipinin yanı sıra kırığa sebep olan olay da (trafik kazası, kavga, patolojik değişikler) önemlidir. Önceden varolan patolojik lezyonlar, dişlerin posizyonu ve kırıktan etkilenme şekilleri prognozu önemli derecede etkilemektedir. Kırık hattında kalan bu dişlerin çekilip çekilmemesi gerektiği diş hekimleri arasında her zaman tartışmalı bir konu olmuştur. Bazı araştırmacılar oluşabilecek komplikasyonları engellemek için dişlerin çekilmesi gerektiğini savunurken, bazıları ise bu dişleri ağızda bırakmanın hasta açısından daha yararlı olduğunu savunmaktadırlar. Ancak çoğu klinisyen tedavi planlamasını kendi geçmiş tecrübelerine dayanarak oluşturmaktadır. Bu makalenin amacı klinisyenlere yönelik kırık hattındaki dişlerin çekimi hakkında belli bir protokol oluşturmaktır

Anahtar Kelimeler

Mandibular kırık, kırık hattındaki dişler, iyileşme komplikasyonları

Kaynakça

• Patrocinio LG, Patrocinio JA, Borba BH, Bonatti
• Bde S, Pinto LF, Vieira JV, Costa JM. Mandibular
• fracture: analysis of 293 patients treated in
• the Hospital of Clinics, Federal University
• of Uberlandia. Braz J Otorhinolaryngol
• ;71(5):560-565.
• Metin M, Sener I, Tek M. Impacted teeth and
• mandibular fracture. Eur J Dent 2007;1(1):18-20.
• Thapliyal GK, Sinha R, Menon PS, Chakranarayan
• A. Management of mandibular fractures. MJAFI
• ;64(3):218-220.
• Kamboozia AH, Punnia-Moorthy A. The fate
• of teeth in mandibular fracture lines. A clinical
• and radiographic follow-up study. Int J Oral
• Maxillofac Surg 1993;22(2):97-101.
• Rai S, Pradhan R. Tooth in the line of fracture:
• its prognosis and its effects on healing. Indian J
• Dent Res 2011;22(3):495-496.
• Wolujevicz MA. Fractures of the mandible
• involving the impacted third molar tooth:
• an analysis of 47 cases. Br J Oral Surg
• ;18(2):125-131.
• Luz JG, Moraes RB, D’Ávila RP, Yamamoto
• MK. Factors contributing to the surgical
• retreatment of mandibular fractures. Braz Oral
• Res 2013;27(3):258-265.
• Chrcanovic BR. Factors influencing the incidence
• of maxillofacial fractures. Oral Maxillofac Surg
• ;16(1):3-17.
• Chrcanovic BR. Teeth in the line of mandibular
• fractures. Oral Maxillofac Surg 2014;18(1):7-24.
• Chuong R, Donoff RB, Guralnick WC. A
• retrospective analysis of 327 mandibular
• fractures. J Oral Maxillofac Surg 1983;41(5):305-
• -
• Samson J, John R, Jayakumar S. Teeth in the line
• of fracture: To retain or remove? Craniomaxillofac
• Trauma Reconstr 2010;3(4):177-184.
• Andreasen JO, Ahrensburg SS, Tsilingaridis G.
• Root fractures: the influence of type of healing
• and location of fracture on tooth survival rates
• - an analysis of 492 cases. Dent Traumatol
• ;28(5):404-409.
• Malanchuk VO, Kopchak AV. Risk factors
• for development of infection in patients with
• mandibular fractures located in the tooth-bearing
• area. J Craniomaxillofac Surg 2007;35(1):57-62.
• Ellis E 3rd. Outcomes of patients with teeth in
• the line of mandibular angle fractures treated
• with stable internal fixation. J Oral Maxillofac
• Surg 2002;60(8):863-865.
• Bobrowski AN, Sonego CL, Chagas Junior
• OL. Postoperative infection associated with
• mandibular angle fracture treatment in the
• presence of teeth on the fracture line: a systematic
• review and meta-analysis. Int J Oral Maxillofac
• Surg 2013;42(9):1041-1048.
• Koenig WR, Olsson AB, Pensler JM. The fate
• of developing teeth in facial trauma: tooth buds
• in the line of mandibular fractures in children.
• Ann Plast Surg 1994;32(5):503-505.
• Berg S, Pape HD. Teeth in the fracture line. Int
• J Oral Maxillofac Surg 1992;21(3): 145-146.
• Spinnato G, Alberto PL. Teeth in the line of
• mandibular fractures. Atlas Oral Maxillofac Surg
• Clin North Am 2009;17(1):15-18.
• Gerbino G, Tarello F, Fasolis M, De Gioanni
• PP. Rigid fixation with teeth in the line of
• mandibular fractures. Int J Oral Maxillofac Surg
• ;26(3):182-186.
• Iizuka T, Lindqvist C, Hallikainen D, Paukku
• P. Infection after rigid internal fixation of
• mandibular fractures: a clinical and radiologic
• study. J Oral Maxillofac Surg 1991; 49(6):585-
• -
• de Amaratunga NA. The effect of teeth in the
• line of mandibular fractures on healing. J Oral
• Maxillofac Surg 1987;45(4):312-314.
• Neal DC, Wagner WF, Alpert B. Morbidity
• associated with teeth in the line of mandibular
• fractures. J Oral Surg 1978;36(11):859-862.
• Suei Y, Mallick PC, Nagasaki T, Taguchi A, Fujita
• M, Tanimoto K. Radiographic evaluation of the
• fate of developing tooth buds on the fracture line
• of mandibular fractures. J Oral Maxillofac Surg
• ;64(1):94-99.