European Journal of Molecular & Clinical Medicine

Abstract

Aims: to identify the fate of the third molar along the line of fracture in mandibular angle fracture.
Materials and Methods: A Retrospective study was conducted in the Department of Dentistry, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India from March 2019 to August 2019. Total 100 cases were enrolled for the study, divided into two groups – group 1 in which third molar was retained and group 2 in which third molar was extracted. The cause for removal included development of pain, redness, discharge indicating periodontal problems including mobility and periapical lesions. Keeping the progress of healing of the bone in mind these teeth were extracted.
Result: The mean age group of the population of the study was 33.42 (20 to 60 years), out of which majority of the cases 85%(85) were male patients and 15%(15) were female patients. There were a total of 100 patients with mandibular angle fracture who underwent open reduction and internal fixation. 32% (n=32) the third molar was removed, while in 68% (n=68) retained. In 45% (45) cases the third molar was completely erupted and 55% (55) were impacted third molars. In the impacted molars 50.91% were mesioangular, 38.18% were vertical and 10.91% were distoangular. Out of the 100 cases included in this study 13 cases underwent implant removal. 9 in case in retained group and 4 in the removal group. In the retained group, extraction of the third molar was carried out along with removal of the implant. A p value of 0.14 was noted and a Chi square value of 1.85.
Conclusion: We conclude that the partially impacted tooths are best to be removed during the procedure for better outcomes provided the fractured segments stability is maintained.