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Quintessence Int 38 (2007), No. 1     7. Dec. 2006
Quintessence Int 38 (2007), No. 1  (07.12.2006)

Page 63-65, PubMed:17216910


Complicated late mandibular fracture following third molar removal
Wagner, Kai Wolfgang / Schoen, Ralf / Wongchuensoontorn, Chanchai / Schmelzeisen, Rainer
Mandibular fractures are a rare complication after third molar removal. Symptoms show a wide variance. Treatment options range from prescription of a soft diet to surgical treatment by open reduction and internal fixation. This article describes a patient who presented a late mandibular fracture following third molar removal. The fracture was not detectable in radiographs at the time of fracture. Six weeks after the reported cracking noise, the patient presented a mandibular fracture with associated osteomyelitis. Treatment by open reduction and internal fixation and autologous iliac crest graft was performed via a submandibular approach. The delayed diagnosis of this pathologic fracture demonstrates the necessity of repeated radiologic controls to prevent osteomyelitis when a fracture is suspected.

Keywords: complication, osteomyelitis, pathologic mandibular fracture, third molar