Oral Health and Dental Management

Mandibular fractures: Determining the sites of fracture and different treatment modalities of the same done at Kantipur Dental College and Teaching Hospital

39^th Asia-Pacific Dental and Oral Care Congress

October 26-28, 2017 Osaka, Japan

Bikash Desar

Kathmandu University, Nepal

Posters & Accepted Abstracts: Oral Health Dent Manag

Abstract:

Purpose: Th e purpose of this study was to locate the fracture sites and treatment modalities of the diff erent fractures. Material & Methods: Patients treated at the Oral and Maxillofacial Department of Kantipur Dental College Teaching Hospital and Research center during a one-year period between 2014 and 2015 were retrospectively evaluated with respect to age groups, gender, etiology, localization and type of fractures, treatment methods and complications. Results: 174 patients were included in the study, 142 (81.6%) males and 32 (18.4%) females, with a total of 244 mandibular fractures sites with a male/female ratio of 4.4:1. Th e most common causes of injury were falls (�?2=17.1607, P=0.0087) accounted for 139 (79.9%) of the fractures. Th e most common fracture sites, symphysis of the mandible being signifi cantly (�?2=21, P=0.0008) aff ected than other sites, however, 96 (39.3%) and 132 (54.1%) of the fractures occurred on the right and left sides of the mandible respectively. Most patients had single (44.3%) and double (31.6%) fractures and this fi nding was signifi cant (�?2=60.9314, P=0.0000). Th e fractures were successfully treated by arch bar and intermaxillary fi xation and open reduction and internal fi xation. Conclusion: this study show falls were the common cause of fracture and others being secondary. Symphysis was the common sites of fracture. Arch bar placement internal fi xation and open reduction and internal fi xation were the treatment modalities we used in our institution.