Acta Scientific Clinical Case Reports

Case StudyVolume 3 Issue 3

Impacted Mandibular Third Molar as a Risk Factor in the Incidence of Mandibular Angle Fractures - A Systematic Review and Meta-analysis

Nisarg Sharma1*, Neha Vyas2 and Nitu Shah3

1Round III PG (MDS Oral and Maxillofacial Surgery), Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India
2Head of the Department, Department of oral and Maxillofacial Surgery, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India
3Professor, Department of Oral and Maxillofacial Surgery, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India

*Corresponding Author: SNisarg Sharma, Round III PG (MDS Oral and Maxillofacial Surgery), Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India.

Received: January 27, 2022; Published: February 21, 2022

Abstract

Background: Presence of impacted mandibular third molars in the oral cavity is most common. However, many times impacted mandibular third molars can lead to mandibular angle fracture. The purpose of this study was to know the incidence of mandibular fractures in patients with impacted mandibular third molars.

Materials and Methods: The articles for this systematic review and meta-analysis were procured from electronic databases like PubMed, Cochrane library, Embase, Medline etc. 19 articles were included in the qualitative analysis and 9 of those in meta-analysis. The risk of bias for observational studies was done with Newcastle-Ottawa Scale (NOS).

Result: All studies from 19 articles showed a significant association of impacted mandibular third molar in the incidence of mandibular angle fracture, the meta-analysis reported an overall odds ratio of 3.22 [95%CL = 1.56, 6.64].

Conclusion: This study concluded that there is a strong association between impacted mandibular third molar and incidence of mandibular fractures.

Keywords: Impacted Mandibular Third Molar; Mandibular Angle Fracture

Bibliography

  1. Yunhae Lee., et al. “Relationship between mandible fractures and third molars”. Archives of Craniofacial Surgery6 (2019): 376-381.
  2. A C V Armond., et al. “Influence of third molars in mandibular fractures. Part 1: mandibular angle—a meta-analysis”. International Journal of Oral and Maxillofacial Surgery 6 (2017): 716-729.
  3. Fuselier JC., et al. “Do mandibular third molars alter the risk of angle fracture?” Journal of Oral and Maxillofacial Surgery 60 (2002): 514-518.
  4. DP Motloba., et al. “Mandibular third molar and angle fractures: a meta-analysis”. SADJ10 (2010): 483-488.
  5. , et al. “Mandibular third molars as a risk factor for angle fractures: a retrospective study”. Association of Oral and Maxillofacial Surgeons of India (2009).
  6. Takada H., et al. “Three-dimensional bone microstructures of the mandibular angle using micro-CT and finite element analysis: relationship between partially impacted mandibular third molars and angle fractures”. Dental Traumatology 22 (2006): 18-24.
  7. Donald f Huelke., et al. “Mandibular fractures as related to the site of trauma and the state of dentition” (1961).
  8. Seiji Iida., et al. “Influence of the Incompletely Erupted Lower Third Molar on mandibular Angle and Condylar Fractures”. The Journal of TRAUMA Injury, Infection, and Critical Care 57 (2004): 613-617.
  9. Jasser Ma’aita and Abdelwahhab Alwrikat. “Is the mandibular third molar a risk factor for mandibular angle fracture?” Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology2 (2000): 143-146.
  10. Atsushi Kasamatsu., et al. “Presence of the Third Molar as a Risk Factor in mandibular Angle Fractures”. Asian Journal of Oral Maxillofacial Surgery3 (2000).
  11. David R., et al. “Mandibular Third Molars and Angle Fractures”. American Association of Oral and Maxillofacial Surgeons9 (2004): 1076-1081.
  12. Joyce T Lee and Thomas B Dodson. “The Effect of Mandibular Third Molar Presence and Position on the Risk of an Angle Fracture”. Journal of Oral Maxillofacial Surgery4 (2000): 399.
  13. Sarfaraz Khan., et al. “Association of mandibular angle and condylar process fractures with presence of incompletely erupted mandibular third molars”. Sudan Medical Journal2 (2017): 44-49.
  14. Hanson BP., et al. “The association of third molars with mandibular angle fractures: a metaanalysis”. Journal-Canadian Dental Association 70 (2004): 39-43.
  15. Sahand samieirad., et al. “The correlation between the lower third molars impaction types and the mandibular angle/condyle fractures: a retrospective study”. Journal of Oral and Maxillofacial Surgery: Official Journal of the American Association of Oral and Maxillofacial Surgeons3 (2018).
  16. Francesco Giovacchini., et al. “Association between third molar and mandibular angle fracture: A systematic review and meta-analysis”. Journal of Cranio-Maxillo-Facial Surgery 30 (2018): 1-8.
  17. Antic S., et al. “Does the Presence of an unerupted lower third molar influence the risk of mandibular angle and condylar fractures?” International Journal of Oral and Maxillofacial Surgery 45 (2016a): 588e592.
  18. Ugboko V., et al. “An investigation into the Relationship between mandibular third molars and angle fractures in Nigerians”. British Journal of Oral and Maxillofacial Surgery 38 (2000): 427-429.
  19. Syed Adnan Ali Shah., et al. “Third molars and angle fractures”. Pakistan Oral and Dental Journal 1 (2015).
  20. Sirius-Dan Inaoka., et al. “Relationship between mandibular fracture and impacted lower third molar”. Medicina Oral, Patologia Oral, Cirugia Bucal 7 (2009): E349-54.
  21. Patil PM. “Unerupted lower third molars and their influence on fractures of the mandibular angle and condyle”. British Journal of Oral and Maxillofacial Surgery 50 (2012): 443-446.
  22. Meisami T., et al. “Impacted Third molars and risk of angle fracture”. International Journal of Oral and Maxillofacial Surgery 31 (2002): 140-144.
  23. Huelke DF and Hagan EH. “An analysis of 319 case reports of mandibular fractures”. Journal of Oral Surgery, Anesthesia and Hospital Dental Service 19 (1961): 93-104.
  24.  

Citation: Nisarg Sharma., et al. “Impacted Mandibular Third Molar as a Risk Factor in the Incidence of Mandibular Angle Fractures - A Systematic Review and Meta-analysis". Acta Scientific Clinical Case Reports 3.3 (2022): 17-24.

Copyright: © 2022 Nisarg Sharma., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US