Prognosis of teeth in the line of and adjacent to mandibular fracture treated by closed reducton - A clinical and radiographical follow up study
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 1, Pages 5325-5331
Abstract
The aim of this study was to assess the prognosis of teeth directly in the line of, and adjacent to fracture sites which are managed by closed reduction.Methodology: A total of 59 Patients reporting to the outpatient wing, Department of oral and maxillofacial surgery, Government Dental College, Thiruvananthapuram with mandibular fractures in dentate region managed by closed reduction satisfying the inclusion and exclusion criteria, weres selected for the study for a period of eighteen months .Information were collected using pre designed proforma and analysed using SPSS
Results: Teeth retained in fracture line pre-operatively out of 59 teeth, only 5 teeth (8.5%) responded to electric pulp testing and 54 teeth (91.5%) had clinically not responded. In teeth adjacent to fracture line preoperatively 45 teeth responded positively (76.3%) and 14 teeth were non responsive (23.7%). But after 6 months there is highly significant difference noted in sensitivity of teeth both groups. In Group A After 6 months 43 teeth showed positive sensitivity (72.9%) and only 16 teeth were non responsive(27.1%). Where in Group B 54 teeth showed positive response (91.5%) and only 5teeth were non responsive (8.5%) with p(<0.01). There was no difference in post-operative complications pertaining to whether the tooth at the fracture site was extracted or retained.
Conclusion: There was an increasing proportion of positive response to pulp test of initially non-responsive teeth over time. The incidence of postoperative infection was not enhanced by retaining the teeth directly in the line of and adjacent to the fractures
- Article View: 10
- PDF Download: 13