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Long-Term Outcome Assessment of Closed Treatment of Mandibular Fractures

Fayazi, Sara DDS, MS*; Bayat, Mohammad DMD, MS; Bayat-Movahed, Saeed DDS*; Sadr-Eshkevari, Pooyan DDS; Rashad, Ashkan DMD, MD

Journal of Craniofacial Surgery: May 2013 - Volume 24 - Issue 3 - p 735–739
doi: 10.1097/SCS.0b013e3182801373
Original Articles

Abstract: Mandibular fractures are among the most common trauma injuries of the craniomaxillofacial region. This study evaluated the late results of mandibles fractures treated with arch bar. Forty-nine patients were examined clinically and by questionnaires for late results of arch bar treatment. Demographic data (age, sex, etc), trigeminal nerve sensation (Weber test), temporomandibular joint evaluation, masticatory muscle function, and occlusion were recorded. The data were analyzed by χ2 test using Sigma Stat 2.0 software. Fifty-one percent of the patients with angular fractures complained of sensory disturbances. Condylar and angular fractures demonstrated higher levels of pain. According to Pearson χ2 test, a statistically significant relation between angular fracture and tenderness of the internal pterygoid muscles (P = 0.047), angular fracture and cross-bite (P = 0.021), parasymphysial fracture and pain upon wind blowing (P = 0.026), and body fracture and mastication discomfort (P = 0.038) was found. In closed reduction therapy, fracture location of the mandible seems to be more likely correlated in producing particular long-term complications. Regular follow-ups for functional treatments and physiotherapy of chewing muscles and temporomandibular joint, along with removal of occlusal abnormalities, should be considered following arch bar reduction of mandibular fractures.

From the *UCLA School of Dentistry, Los Angeles, CA; †Department of Oral and Maxillofacial Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran; and ‡Oral and Maxillofacial Surgery Department, Bremerhaven Hospital (Reinkenheide); Bremerhaven, Germany.

Received August 6, 2012.

Accepted for publication November 3, 2012.

Address correspondence and reprint requests to Pooyan Sadr-Eshkevari, DDS, Department of Oral and Maxillofacial Surgery Reinkenheide Hospital, Postbrookstraße 103, 27574 Bremerhaven, Germany; E-mail: psadr_dds@yahoo.co.uk

This study has no sources of funding.

The authors report no conflicts of interest.

© 2013Wolters Kluwer Health | Lippincott Williams & Wilkins