Abstract

OLIVEIRA, Camila Carla Maria Ximens et al. Fractured mandible during impacted third molar exodontia: a case report. Rev. cir. traumatol. buco-maxilo-fac. [online]. 2013, vol.13, n.4, pp. 15-20. ISSN 1808-5210.

Introduction: The third molars have a higher prevalence of impaction. When indicated, the extraction of these teeth can result in complications such as fracture mandibular. Objective: To report a case of mandibular fracture that occurred and was identified during the extraction of inferior impacted third molar, and successfully treated by a conservative method. Case report: The patient underwent surgical procedure under local anesthesia for the extraction of tooth 48 which was in position 1B, according to Pell and Gregory. Surgical access was performed through a Maurel type incision and peripheral ostectomy with surgical drill 702, executing lever movements with a straight elevator. The mandibular fracture was detected at the time of removal of the tooth in question. A conservative treatment was adopted, as osteosynthesis and maxillomandibular block with Gilmer Sauer type amarrias were performed. After one week, the maxillomandibular block was removed and the dental occlusion was checked. Final Thoughts: Complications in extractions are always to be considered when planning a surgery. The mandibular fracture in this case was handled.

Keywords : mandibular fractures.; third molar.; complication..