Pattern of isolated mandibular symphysis fracture and trends in management at a tertiary care hospital of Karachi, Pakistan.

Abstract

Objective: To find the pattern of isolated mandibular symphysis fracture and trends in management at a tertiary care hospital of Karachi, Pakistan. Study Design: Crossectional study. Setting: Department of Oral Surgery, Sir Syed Medical & Dental Hospital-Karachi, Pakistan. Period: January 2018 to December 2019. Material & Methods: Eighty one patients were selected on the basis of inclusion and exclusion criteria. They were diagnosed with isolated anterior mandibular fracture on basis of detailed history, thorough clinical examination and a radiologic investigation (OPG). Etiology of fracture and gender distribution was observed, fracture pattern was observed on basis of helmet wearing. Results: There was a male predilection with a male to female ratio of 4.3:1. Road traffic accident was the commonest cause. 82.7 % of patients were not wearing helmet at time of incidence and 69% from all patients had displaced mandibular fracture which resulted in derranged occlusion. Conclusion: Isolated anterior mandibular fractures is common in younger age group, with a male predilection. Most common etiologic factor is road traffic accident. Displaced fracture pattern is prevalent among patients who were not wearing helmet at time of incidence.