Abstract

The mandibular bone is an important component of the facial bone, which has a unique role in digestive system, speech, and facial esthetics. For these important functions of mandibular bone, it is vital that surgeons should not only treat function but also consider the esthetics together. Mandibular fractures are among the most common traumatic injuries of the maxillofacial, and it is in facial region, the second most frequently fractured adult facial bone is the mandible due to its vulnerable position and projected onto the face. The objective of this study is to show in detail all the specific aspects, the management and the efficacy of the use of treatments by means of closed reduction and open reduction+stable internal fixation in patients with mandibular fractures. Special emphasis was placed on the potential impact of socioeconomic standards on the mechanism and pattern of jaw fractures.

Highlights

  • The mandibular bone is an important component of the facial bone, which has a unique role in digestive system, speech, and facial esthetics

  • The objective of this study is to show in detail all the specific aspects, the management and the efficacy of the use of treatments by means of closed reduction and open reduction+stable internal fixation in patients with mandibular fractures

  • Trauma at the facial level gives rise to soft tissue and hard tissue injuries, including dental organs, as well as the bony components that make up the face: mandible, maxilla, zygomatic bone, NasoorbitalEthmoidal Complex (NOE) and the supraorbital structures

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Summary

Introduction

Trauma at the facial level gives rise to soft tissue and hard tissue injuries, including dental organs, as well as the bony components that make up the face: mandible, maxilla, zygomatic bone, NasoorbitalEthmoidal Complex (NOE) and the supraorbital structures. In a 10-year retrospective case study carried out in Saudi Arabia to analyze the incidence and etiology of maxillofacial fractures, 270 patients were registered with a total of 476 facial fractures, of which 260 fractures (54.5%) had mandibular involvement, among which the condyles turned out to be the most affected (11.8%). To successfully reduce fractures of tooth bearing bones, the most important thing is to place the teeth in the previously existing occlusive relationship. To achieve these objectives, closed reduction by means of Arches of Erich or open reduction and internal fixation by means of titanium plates and screws can be used [3,4,5,6]

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