Mandible Fractures

8.4.1 Discuss unfavorable and favorable mandible fractures.

Stacey DH, Doyle JF, Mount DL, Snyder MC, Gutowski KA. Management of mandible fractures. Plast Reconstr Surg. 2006 Mar;117(3):48e-60e. PMID:16525255

8.4.2 Describe the distribution of mandible fractures by site.

8.4.3 Review dental anatomy. Discuss terminology and arrangement of primary and permanent dentition.

8.4.4 Give us the angle classification of occlusion.

8.4.5 What are Champy’s lines and why are they important in ORIF of mandible fractures?

8.4.6 How to you manage teeth in the line of the fracture?

Shetty V, Freymiller E. Teeth in the line of fracture: a review. J Oral Maxillofac Surg. 1989 Dec;47(12):1303-6. PMID:2685211

8.4.7 What is the management of condylar neck fractures?

Klotch DW, Lundy LB. Condylar neck fractures of the mandible. Otolaryngol Clin North Am. 1991 Feb;24(1):181-94. PMID:2027697

8.4.8 What are the indications for mini-plates in mandible fractures?

Valentino J, Levy FE, Marentette LJ. Intraoral monocortical miniplating of mandible fractures. Arch Otolaryngol Head Neck Surg. 1994 Jun;120(6):605-12. PMID:8198783

8.4.9 In which situation would you consider a Joe Hall Morris device application? How do you put one on?

8.4.10 Indications for lag screw. Technique?

Semergidis T, Vairaktaris E, Iatrou I, Carageorgis P, Martis C. Blood supply to the oral and maxillofacial tissues following radiation therapy: a prospective ultrasonographic study. J Craniomaxillofac Surg. 1996 Feb;24(1):16-23. PMID:8707937

8.4.11 What methodologies are available for the edentulous mandible?

Luhr HG, Reidick T, Merten HA. Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases. J Oral Maxillofac Surg. 1996 Mar;54(3):250-4; discussion 254-5. PMID:8600229

Bruce RA, Ellis E 3rd. The second Chalmers J. Lyons Academy study of fractures of the edentulous mandible. J Oral Maxillofac Surg. 1993 Aug;51(8):904-11. PMID:8336228

8.4.12 Where do the pterygoids attach? What do they do?

8.4.13 What is the rate of lingual injury associated with mandible fractures? What about of alveolar nerve?

8.4.14 What are indications for opening a condyle? What about relative indications?

8.4.15 Does a delay in treatment of mandible fractures result in an increased incidence of complications?

Biller JA, Pletcher SD, Goldberg AN, Murr AH. Complications and the time to repair of mandible fractures. Laryngoscope. 2005 May;115(5):769-72. PMID:15867637

8.4.16 Are mandibular third molars considered a risk factor for angle fractures?

Halmos DR, Ellis E 3rd, Dodson TB. Mandibular third molars and angle fractures. J Oral Maxillofac Surg. 2004 Sep;62(9):1076-81. PMID:15346357

8.4.17 Pediatric mandible fractures….should they be treated differently?