Compound Mandibular Fracture
As with any facial fracture consideration must be given for the need of emergency treatment to secure the airway or to obtain hemostasis if necessary before initiating definitive treatment of the fracture.
Compound mandibular fracture. Mandibular fractures are common and may need emergency treatment especially if there is any compromise of the airway. Because the topic is so controversial strongly consider prophylactic antibiotics in any patient with a mandibular fracture. Fifty two patients with 71 mandibular fractures were treated in a prospective fashion in conformity with the protocol. Angle fractures occur in a triangular region between the anterior border of the masseter and the posterosuperior insertion of the masseter.
Most sources agree that antibiotics are not needed for condylar fractures 23. Mandibular fractures are relatively common especially among young men. A broken jaw or mandible fracture is a common facial injury only the nose is broken more frequently. A dislocated jawbone means that the temporomandibular joint where the jaw connects with the skull is moved.
Often the teeth will not feel properly aligned or there may be bleeding of the gums. Mandibular fractures occur most commonly among males in their 30s. Mandibular fracture also known as fracture of the jaw is a break through the mandibular bone in about 60 of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth.
Fractures of the mandibular body may be classified by anatomic location condition and position of teeth relative to the fracture favorableness or type. Dislocation of the temporomandibular joint can occur as a result of direct trauma but more often occurs as a result of excessive opening of the mandible such as when yawning or during dental procedures. The purpose of this study was to evaluate the validity of a treatment protocol for compound mandibular fractures that is based on the time of injury to treatment patients and methods. For appropriate management of mandibular fracture a comprehensive and therapy relevant classification is required.
Communited usually compound fractures characterized by fragmentation of bone pathological results from an already weakened mandible by pathological conditions. Although traditionally the mandible and base of skull are thought to form a complete bony ring interrupted only by the tmjs this should mean that the mandible should fracture in two places akin to the bony pelvis making single fractures uncommon but this in fact not the case with 40 of fractures being unifocal. Mandible fractures are a frequent injury because of the mandible s prominence and relative lack of support. Others only offer antibiotics to patients with truly open fractures compound fractures 24 or fractures of the dentoalveolar ridge.
A broken jaw is the 10th most common fractured bone in the human body fractures breaks in the bone are generally the result of a direct force or trauma to the jawbone mandible. Compound fractures of tooth bearing portions of the mandible into d mouth via the periodontal membrane and at times through the overlying skin.