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My Seminar-fracture of the Mandible

My Seminar-fracture of the Mandible

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Published by: Khalid Mahmud Arifin on Aug 16, 2008
Copyright:Attribution Non-commercial

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05/09/2014

 
DEFINITION OF FRACTURE:
A break in normal continuity of bone with or without loss of bony contour when stretched or bent beyond its elastic limit due to any trauma or any pathologyis referred to as fracture.This breaks in normal continuity results imbalance of bony architecture, muscular  pull and overlying soft tissue. This is turn result in loss of function.
INTRODUCTION OF MANDIBULAR 
FRACTURE:
As the mandible is a hoop of bone articulating with the skull at its proximalends by two joints and since the chin is a prominent feature of face, the mandible is prone to fracture.The mandible has been compared to an archery bow, which is the strongest at itscenter and weakest at its end, where it breaks often. Hence, the fracture occurringin any part of mandible refers to as mandibular fracture. 
INCIDENCE:
Mandibular fracture is more common than middle third injury. The mostcommon facial fractures are-Mandible: 61%Maxilla: 46%Zygoma: 27% Nasal bone: 19.5%
AETIOLOGY:
The causes of fracture are
– 
Traumatic:
Road traffic accident-Major cause
Fall
Assault
1
 
Sports injury, gun shot injury, industrial injury
War 
Violence
Blow
Faulty tooth extraction
Pathological:
Osteolytic lesion-
Osteo fibroma
Fibrous Dysplasia
Atrophic bony condition-
Paget’s diseases
Other pathologies-
Osteomyelitis
Osteoporosis
Osteogenic imperfecta
Osteonecrosis
Large cyst
MANDIBULAR AREAS OF WEAKNESS:
1.
Presence of tooth/teeth bearing area-longest root of canine, impected or unerrupted 3
rd
molar 2.Neck of the condyle3.Symphysis & parasymphysis of the mandible4.Angle of the mandible5.Presence of foraminaa)Mental foramina
 b)
Inferior dental foramina6.Mandibular notch
CLASSIFICATION:
The classification of mandibular fracture based on the following criteria:
Based on anatomical location-
2
 
Angle of the mandible-31% of all mandibular fractureBody of the mandible-36%
Molar region -----------15%
Mental region-----------14%
Cuspid area--------------7%3. Condylar process—About 18% of all mandibular fracture4. Symphysis and parasymphysis ---8%5. Ramus of the mandible—6%6. Coronoid process—1%7.Dento-alveolar regionFig: Sites of fracture
B.Based on the types of fracture:Simple Fracture:
When there is a break in continuity of bone without break in mucosa or skin that isthe fracture fragments not exposed to the external environment.
3

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sukhvinderbindra added this note
very nice
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very well organised...pls email at champak1991@gmail.com
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really good ... can u please mail me this topic to ashishsks1@gmail.com....thank you
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thanks alot
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