Display options
Cite
Krishnan B. The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible. Craniomaxillofac Trauma Reconstr. 2015;9(1):20-8doi: 10.1055/s-0035-1556050.
Krishnan, B. (2016). The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible. Craniomaxillofacial trauma & reconstruction, 9(1), 20-8. https://doi.org/10.1055/s-0035-1556050
Krishnan, Balasubramanian. "The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible." Craniomaxillofacial trauma & reconstruction vol. 9,1 (2016): 20-8. doi: https://doi.org/10.1055/s-0035-1556050
Krishnan B. The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible. Craniomaxillofac Trauma Reconstr. 2016 Mar;9(1):20-8. doi: 10.1055/s-0035-1556050. Epub 2015 Jun 22. PMID: 26889344; PMCID: PMC4755728.
Copy Download .nbib Format: NLM
Share it on

Craniomaxillofac Trauma Reconstr. 2016 Mar;9(1):20-8. doi: 10.1055/s-0035-1556050. Epub 2015 Jun 22.

The Role of a Conservative Minimal Interventional Management Protocol in the Fractures of the Dentate Portion of the Adult Mandible.

Craniomaxillofacial trauma & reconstruction

Balasubramanian Krishnan

Affiliations

  1. Department of Dentistry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India.

PMID: 26889344 PMCID: PMC4755728 DOI: 10.1055/s-0035-1556050

Abstract

Mandibular fractures are commonly encountered by the maxillofacial surgeon. Maxillomandibular fixation (MMF) and open reduction and internal fixation (ORIF), or a combination of both, are the accepted standard treatments. This study aims to assess the role of a conservative minimal intervention protocol in the management of undisplaced/minimally displaced fractures of the dentate portion of the adult mandible and the complications associated with such minimalistic intervention. Thirty-four patients with undisplaced/minimally displaced fractures of the dentate portion of the adult mandible were advised to restrict mouth opening and limit themselves to a soft diet for a minimum of 4 weeks. All patients were advised follow-up at regular intervals for at least 3 months. Five patients were lost to follow-up. Symphysis and parasymphysis fractures were the most common fracture locations. Fourteen patients needed tension band stabilization with a mandibular arch bar/bridle wiring and three patients required extraction of luxated teeth. All patients showed satisfactory healing except three in whom additional intervention (ORIF) was performed. The improvement in mouth opening was statistically significant. Complications were seen more frequently among smokers and alcoholics. For patients with minimally displaced mandibular fractures, it is necessary to consider if the perceived benefits of intervention justify the associated added costs and possible complications. Patients have to be fully informed about the possible complications while using this minimal intervention protocol. This study concludes that a conservative minimal intervention management protocol for such fractures of the dentate portion of the mandible can produce satisfactory results.

Keywords: conservative; dentate; mandibular fractures; maxillofacial trauma; maxillomandibular fixation; open reduction and internal fixation

References

  1. Craniomaxillofac Trauma Reconstr. 2014 Jun;7(2):126-30 - PubMed
  2. Panminerva Med. 1969 Mar;11(3):88-90 - PubMed
  3. Oral Surg Oral Med Oral Pathol. 1990 Oct;70(4):428-30 - PubMed
  4. Can J Surg. 1980 May;23(3):228-32 - PubMed
  5. J Oral Maxillofac Surg. 2005 Jul;63(7):953-6 - PubMed
  6. Cochrane Database Syst Rev. 2013 Jul 08;(7):CD006087 - PubMed
  7. J Oral Maxillofac Surg. 2011 Aug;69(8):2191-7 - PubMed
  8. Int J Oral Maxillofac Surg. 2004 Mar;33(2):141-5 - PubMed
  9. Br J Oral Maxillofac Surg. 1984 Jun;22(3):170-7 - PubMed
  10. J Trauma Acute Care Surg. 2014 Mar;76(3):720-4 - PubMed
  11. Aust Dent J. 2011 Jun;56(2):166-70 - PubMed
  12. Injury. 2011 Jun;42(6):551-5 - PubMed
  13. Injury. 2007 Sep;38 Suppl 4:S3-6 - PubMed
  14. J Plast Reconstr Aesthet Surg. 2007;60(2):146-51 - PubMed
  15. J Maxillofac Oral Surg. 2009 Dec;8(4):320-3 - PubMed
  16. Injury. 2004 Jun;35(6):557-61 - PubMed
  17. Injury. 2011 Mar;42(3):301-5 - PubMed
  18. Patient Educ Couns. 2003 Jun;50(2):201-10 - PubMed
  19. Calcif Tissue Int. 2000 Apr;66(4):288-91 - PubMed
  20. J Oral Maxillofac Surg. 1998 Aug;56(8):924-9 - PubMed
  21. J Oral Maxillofac Surg. 2008 Nov;66(11):2203-12 - PubMed
  22. Int J Oral Maxillofac Implants. 2003 Sep-Oct;18(5):739-44 - PubMed
  23. Swed Dent J. 1981;5(1):15-20 - PubMed
  24. Oral Surg Oral Med Oral Pathol. 1985 Feb;59(2):142-4 - PubMed
  25. Trans Int Conf Oral Surg. 1967;:330-2 - PubMed
  26. J Bone Miner Res. 1999 Jul;14(7):1115-22 - PubMed
  27. J Craniofac Surg. 2001 Mar;12 (2):157-66 - PubMed

Publication Types