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The Journal of Craniofacial Surgery Jan 2009A large number of studies and clinical cases show that an ideal prognosis for mouth function cannot be obtained without sufficient and reasonable postsurgical functional... (Comparative Study)
Comparative Study
BACKGROUND
A large number of studies and clinical cases show that an ideal prognosis for mouth function cannot be obtained without sufficient and reasonable postsurgical functional exercise after jaw fracture. However, no unifying criteria exist on postsurgical functional exercise with jaw fracture. The study was designed to explore effective methods of postsurgical functional exercise of jaw fracture.
MATERIALS AND METHODS
One hundred seventeen inpatients with jaw fracture between August 2005 and August 2006 were subjects in this study. Sequential function exercise methods were used to recover patients' gape degree, chewing, and so on. Gape degree was recorded, and healing of the jaw was assessed using x-ray.
RESULTS
All 117 patients with jaw fracture who underwent surgery were involved in the analysis. After sequential function exercise, gape degree and chewing function improved; good occluding relations were retained. Gape degree was significantly improved at 8 or 12 weeks postsurgery compared with 1 or 4 weeks postsurgery (P < 0.01). However, no significant differences in gape degree were observed between 1 and 4 weeks postsurgery and between 8 and 12 weeks postsurgery (P > 0.05).
CONCLUSIONS
Sequential function exercise contributes much to patient recovery of mouth function. This method is effective for postsurgical functional recovery of jaw fracture.
Topics: Adult; Dental Occlusion; Exercise Therapy; Female; Follow-Up Studies; Fracture Fixation, Internal; Humans; Jaw Fixation Techniques; Jaw Fractures; Male; Mandibular Fractures; Mastication; Maxillary Fractures; Middle Aged; Movement; Postoperative Care; Prognosis; Prospective Studies; Range of Motion, Articular; Recovery of Function; Temporomandibular Joint; Treatment Outcome; Young Adult
PubMed: 19164987
DOI: 10.1097/SCS.0b013e3181945e22 -
International Journal of Pediatric... Mar 1990From a total of 350 jaw fractures treated in 1980-1984 at Kuopio University Central Hospital, 20% were in children. These injuries were evaluated retrospectively...
From a total of 350 jaw fractures treated in 1980-1984 at Kuopio University Central Hospital, 20% were in children. These injuries were evaluated retrospectively regarding age, sex, incidence and etiology. Forty-five of the patients were boys and 25 girls. The frequency of maxillary and mandibular fractures in 70 young patients was 28.6%. The most common type of bone fractures was fracture of the alveolar process, which was prevalent in persons with mixed dentition. Before the age of 7 years, falls from height were the common causes of jaw fractures. The major cause of the jaw fractures in children from 7 to 15 years old was road accidents (47.1%), especially in boys. Most of these were cycling accidents, only a few patients were victims of automobile accidents. In addition, about one third (25.7%) of the patients were treated in the hospital because of multiple injuries to other organs.
Topics: Adolescent; Alveolar Process; Child; Child, Preschool; Female; Finland; Humans; Incidence; Jaw Fractures; Male; Mandibular Fractures; Maxillary Fractures; Retrospective Studies
PubMed: 2341234
DOI: 10.1016/0165-5876(90)90195-w -
The Veterinary Clinics of North... Jul 2005Oral trauma remains a common presentation in a small animal practice. Most fractures are the result of vehicular accidents. Among other causes are falls, kicks, gunshots... (Review)
Review
Oral trauma remains a common presentation in a small animal practice. Most fractures are the result of vehicular accidents. Among other causes are falls, kicks, gunshots wounds, and encounters with various hard objects ranging from baseball bats and golf clubs to horse hooves and car doors. Next in popularity are dog fights, especially when a large dog and a small dog are involved, and fights with other animals. With cats, falls from various heights are responsible for a large percentage of presentations.
Topics: Animals; Cats; Dogs; Fracture Fixation; Jaw Fractures; Maxillofacial Injuries; Periodontal Splints; Treatment Outcome
PubMed: 15979522
DOI: 10.1016/j.cvsm.2005.03.003 -
Dental Traumatology : Official... Jun 2010While Australians are one of the healthiest populations in the world, inequalities in access to health care and health outcomes exist for Indigenous Australians and... (Comparative Study)
Comparative Study
BACKGROUND/AIM
While Australians are one of the healthiest populations in the world, inequalities in access to health care and health outcomes exist for Indigenous Australians and Australians living in rural or urban areas of the country. Hence, the purpose of this study was to develop an innovative methodological approach for predicting the incidence rates of jaw fractures and estimating the demand for oral health services within Australia.
MATERIALS AND METHODS
Population data were obtained from the Australian Bureau of Statistics and was divided across Australia by statistical local area and related to a validated remoteness index. Every episode of discharge from all hospitals in Western Australia for the financial years 1999/2000 to 2004/2005 indicating a jaw fracture as the principle oral condition, as classified by the International Classification of Disease (ICD-10AM), was the inclusion criterion for the study. Hospitalization data were obtained from the Western Australian Hospital Morbidity Data System.
RESULTS
The model estimated almost 10 times higher jaw fracture rates for Indigenous populations than their non-Indigenous counterparts. Moreover, incidence of jaw fractures was higher among Indigenous people living in rural and remote areas compared with their urban and semi-urban counterparts. In contrast, in the non-Indigenous population, higher rates of jaw fractures were estimated for urban and semi-urban inhabitants compared with their rural and remote counterparts.
CONCLUSIONS
This geographic modelling technique could be improved by methodological refinements and further research. It will be useful in developing strategies for health management and reducing the burden of jaw fractures and the cost of treatment within Australia. This model will also have direct implications for strategic planning for prevention and management policies in Australia aimed at reducing the inequalities gap both in terms of geography as well as Aboriginality.
Topics: Adolescent; Adult; Australia; Child; Dental Health Services; Female; Forecasting; Health Planning; Health Services Needs and Demand; Healthcare Disparities; Humans; Incidence; Jaw Fractures; Male; Middle Aged; Models, Theoretical; Native Hawaiian or Other Pacific Islander; Population Groups; Reproducibility of Results; Rural Health; Suburban Health; Urban Health; Young Adult
PubMed: 20572838
DOI: 10.1111/j.1600-9657.2010.00896.x -
Zahnarztliche Praxis Mar 1976
Topics: Humans; Immobilization; Jaw Fractures; Splints
PubMed: 1076999
DOI: No ID Found -
Journal of Veterinary Dentistry Jun 2003Maxillofacial fractures in dogs and cats occur secondary to vehicular trauma, falls, kicks, gunshots, and fights with other animals. Pathologic mandibular fracture may... (Review)
Review
Maxillofacial fractures in dogs and cats occur secondary to vehicular trauma, falls, kicks, gunshots, and fights with other animals. Pathologic mandibular fracture may occur secondary to periodontal disease, neoplasia, and metabolic diseases. The primary objective for repair of maxillofacial fractures in small animals is return to normal function. Therefore, it is necessary to maintain occlusal alignment while providing adequate stability for bony union. Basic principles of maxillofacial fracture repair include anatomic reduction and restoration of occlusion, application of a stable fixation to neutralize negative forces on the fracture, gentle handling of soft tissues, avoidance of iatrogenic dental trauma, extraction of diseased teeth within the fracture line, and minimizing excessive soft tissue elevation. This review article will describe the application of intraoral acrylic splints for maxillofacial fracture repair.
Topics: Animals; Cats; Dogs; Fracture Fixation; Jaw Fractures; Maxillofacial Injuries; Periodontal Splints; Polymethyl Methacrylate; Radiography
PubMed: 14528854
DOI: 10.1177/089875640302000201 -
Dental Traumatology : Official... Apr 2017The decision as to whether teeth in the line of jaw fractures should be extracted or retained remains a controversial issue. The aim of this study was to assess the...
BACKGROUND/AIM
The decision as to whether teeth in the line of jaw fractures should be extracted or retained remains a controversial issue. The aim of this study was to assess the prognosis of teeth directly in the line of, and adjacent to, jaw fracture sites.
MATERIALS AND METHODS
The study consisted of 50 patients with facial fractures in the dentate region, the diagnosis of which was made on the basis of clinical and radiographic examinations. A total of 124 teeth were present in 69 fracture sites (50 patients), of which 89 teeth were evaluated both, clinically (tooth mobility, pocket depth, pulp sensibility) and with periapical radiographs (degree of fracture displacement, marginal bone loss, root resorption).
RESULTS
The results revealed that 61.9% of teeth in directly in the line of fractures showed no response to electric pulp testing compared with 48.9% teeth adjacent to fractures. The maximum frequency of non-responsive teeth was observed in Type I fractures followed by Type II fractures. Response to pulp tests was highly significant at postoperative 3- and 6-month periods (Wilcoxon's test). There was continuous reduction in the measurement for mean pocket depth at both test and control sites of teeth. The measurement of marginal bone levels of teeth in the line of fractures revealed a significant reduction (P < 0.01) from preoperative to postoperative 7-day period only. In teeth adjacent to fracture sites, the mean marginal bone levels of control site and test sites were not significant at any time interval. There was no difference in postoperative complications pertaining to whether the tooth at the fracture site was extracted or retained.
CONCLUSIONS
Teeth in line of jaw fractures should not be removed on a prophylactic basis and should be followed up clinically and radiographically to determine any treatment needs.
Topics: Adult; Antibiotic Prophylaxis; Female; Humans; Jaw Fractures; Male; Prognosis; Tooth Extraction; Tooth Injuries
PubMed: 27926988
DOI: 10.1111/edt.12314 -
The Veterinary Clinics of North... May 2013Advancements in diagnostic and treatment modalities for oral and maxillofacial surgery have allowed veterinarians to offer clients a range of alternatives for their... (Review)
Review
Advancements in diagnostic and treatment modalities for oral and maxillofacial surgery have allowed veterinarians to offer clients a range of alternatives for their pets. Categories of oral and maxillofacial surgery reviewed in this article include jaw fracture management, management of palatal/oronasal defects, recognition and treatment of oral masses, and management of several miscellaneous pathologic conditions. Miscellaneous oral lesions discussed in this article include odontogenic cysts, osteonecrosis and osteomyelitis, and lesions of the tongue and lips.
Topics: Animals; Cat Diseases; Cats; Dog Diseases; Dogs; Jaw Diseases; Jaw Fractures; Maxillofacial Injuries; Odontogenic Cysts; Oral Surgical Procedures; Osteomyelitis; Osteonecrosis
PubMed: 23643024
DOI: 10.1016/j.cvsm.2013.02.010 -
The Annals of Otology, Rhinology, and... 1988
Topics: Child; Female; Humans; Jaw Fractures; Palate; Tomography, X-Ray Computed
PubMed: 3408118
DOI: 10.1177/000348948809700419 -
Otolaryngologic Clinics of North America Aug 1987The knowledge of the entire spectrum of differing healing patterns should help the surgeon to judge the progress of fracture healing. To be able to recognize an abnormal... (Review)
Review
The knowledge of the entire spectrum of differing healing patterns should help the surgeon to judge the progress of fracture healing. To be able to recognize an abnormal course and deviating patterns will help the surgeon to avoid risks and to improve the mechanical and biologic conditions necessary for successful fracture treatment.
Topics: Fracture Fixation; Humans; Jaw Fractures; Wound Healing
PubMed: 3317200
DOI: No ID Found