Mandibular Fracture
Mandibular Fracture
Mandibular Fracture
Muftah Khama
TYPE OF FRACTURE
1) Simple Linear fracture: lines which do not communicate with the exterior.
2) Compound fracture: The fracture is communicating intraorally or
extraorally
3) Communited fracture: Shattering of bone into multiple pieces
4) Complex fracture: They is adjunct injury to the adjacent nerves or major
blood vessels
5) Impact frcture: One fragment is firmly driven within the other fragment
and clinical movement not appreciate
6) Greenstick fracture Only one cortex broken. Common in children
1) Dentoalveolar
2) Condyle
3) Coronoid
4) Ramus
5) Angle
6) Body (molar and premolar areas)
7) Parasymphysis
8) Symphysi
CAUSE OF FRACTURE
1) Direct violence
2) Indirect violence
3) Excessive muscular contraction: Fracture of the coronoid process
because of sudden reflex contracture of the temporalis muscle
. PATTERN OF FRACTURE •
1) Unilateral fracture
2) Bilateral fracture
3) Multiple fracture
4) Comminuted fracture
PATTERN OF FRACTURE •
1) Unilateral fracture
2) Bilateral fracture
3) Multiple fracture
4) Comminuted fracture
AETIOLOGY
1) Road traffic accidents
2) Interpersonal violence
3) Contact sports
4) Industrial trauma
5) Falls
EPIDEMIOLOGY
The mandible is one of the most commonly fractured bones of the
face and this is directly related to its prominent and exposed position.
Oikarinen and Lindqvist (1975) studied 729 patients with multiple
injuries sustained in RTA. The most common facial fractures were in
the mandible.
Mandible (61%) Maxilla (46%) Zygoma(27%) Nasal Bone (19%)