Resumo

BLANSKI, Danyelle et al. Mandibular body fracture after the extraction of the second lower molar in a HIV Positive patient: Case Report. RFO UPF [online]. 2012, vol.17, n.2, pp. 218-221. ISSN 1413-4012.

Objectives: To report a case of a patient diagnosed with HIV that had a mandibular body fracture after the extraction of the left second molar, which was successfully treated by open reduction with stable internal fixation. Case report: The surgical procedure was done under general anesthesia. A Risdon access was performed in order to expose the fracture. A maxillomandibular fixation was obtained using intermaxillary fixation screws. The stable internal fixation of the fracture was performed with titanium plates and screws of the system 2.0 mm (tension band) and 2.3 mm (land compression). Latter, the intermaxillary fixation was removed and the occlusion checked. Final considerations: Complications and accidents that occur during extractions must be considered when planning a surgery. Although rare, mandible fractures are usually related to excessive forces used during surgery, but may also occur in the postoperative period, which is mainly related to the weakening of the bone in the extraction region.

Palavras-chave : Fracture fixation.; Internal fixation fracture.; Mandibular fractures..