Unfavorable Mandibular Body Fracture Associated with First Molar Removal: Report of a New Case

Case Report

Austin J Dent. 2017; 4(5): 1081.

Unfavorable Mandibular Body Fracture Associated with First Molar Removal: Report of a New Case

Faryabi J and Mehrabizadeh H*

Department of Oral and Maxillofacial Surgery, Kerman Medical University, Iran

*Corresponding author: Mehrabizadeh H, Department of Oral and Maxillofacial Surgery, Kerman Medical University, Shafast Dentistry School, Iran

Received: May 03, 2017; Accepted: May 23, 2017; Published: June 12, 2017

Abstract

First molar extraction is one of the most common procedures performed in dentistry units. It is sometimes accompanied by complications such as alveolar osteitis, infection, hemorrhage, dysesthesia and also iatrogenic fracture. This article describes a rare case of mandibular body fracture that occurred in patient during the extraction of one erupted first molar, including a brief review of the literature.

Keywords: First molar extraction; Complication; Mandibular fracture

Case Presentation

A 28-year-old female was referred to our department by a general dental practitioner (GDP) after the dentist attempted to extract the patient’s lower first molar tooth with forceps. She was a healthy young woman with no history of significant medical problems. In intraoral examination there was a mandibular body fracture in socket place with mobile parts, the patient was unable to open her mouth (Figure 1,2). Based on details indication of extraction was carries and pain of first molar. The radiographic examination revealed a mandibular unfavorable body fracture including buccal and lingual table and also a remained root (Figure 3,4 and 5). The patient also stated that while the dentist was extracting the tooth, he had used the forceps without supporting the alveolar bone segment. After general anesthesia with nasal intubation, by intaoral vestibular incision the fracture line was exposed and the remained root was surgically extracted, then upper and lower IMF screws was placed and the patient fixed in occlusion with wire, then the fracture line was reduced anatomically and fixed with miniplates and screws, then IMF wires opened and mouth opening was controlled and incision sutured. The patient had IMF for 2 weeks (Figure 6,7), an uneventful recovery and normal occlusion.