OriginalArticle
Tooth in fracture line:
extract or maintain? THIAGO MARQUES DE MESQUITA1,2 | BASÍLIO DE ALMEIDA MILANI1,3 | THAIS BENEDETTI HADDAD CAPPELLANES1,4 | ROSANY GUARNNETTI DOS SANTOS1,5 | TALITA LOPES1,6
ABSTRACT Fractures located in the mandibular angle may contain teeth in the fracture line and, over the years, different opinions have been observed on the need for extraction or maintenance of these teeth in the fracture line. The objective of this study was to report two cases of treatment of mandibular fractures, with tooth presence in the fracture line, discussing the indications of maintenance and extraction of these teeth. In the first case, it was decided to perform the extraction of the tooth associated with mandibular fracture line. In the second patient, it was opted to maintain this tooth in the fracture line. As a result, we have succeeded in the treatment both in the case where the tooth was maintained and in the case where tooth extraction was performed. We have concluded that must be extracted during surgery teeth that do not have any condition that allows its maintenance, or to prevent the reduction of the fracture. Sound teeth or teeth that facilitate the reduction and fixation of mandibular fractures, even present in mandibular fracture line, must be preserved. The preservation of a tooth in the mandibular fracture line does not increase the chance of infection, provided there is no indication of dental extraction. Keywords: Tooth. Mandibular fractures. Tooth extraction.
Hospital Municipal do Campo Limpo (São Paulo/SP, Brazil).
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How to cite: Mesquita TM, Milani BA, Cappellanes TBH, Santos RG, Lopes T. Tooth in fracture line: extract or maintain? J Braz Coll Oral Maxillofac Surg. 2019 Jan-Apr;5(1):36-40. DOI: https://doi.org/10.14436/2358-2782.5.1.036-040.oar
Especialista em Cirurgia e Traumatologia Bucomaxilofacial, Hospital Municipal do Campo Limpo (São Paulo/SP, Brazil).
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Submitted: 09/04/2015 - Revised and accepted: 25/01/2018
Especialista em Cirurgia e Traumatologia Bucomaxilofacial e Mestre em Clínicas Odontológicas, Universidade de São Paulo, Faculdade de Odontologia (São Paulo/SP, Brazil).
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Mestre em Odontologia, Universidade de Taubaté (Taubaté/SP, Brazil).
» The authors report no commercial, proprietary or financial interest in the products or companies described in this article.
Especialista em Ortodontia, Sindicato de Odontologia do Estado de São Paulo, Centro de Aperfeiçoamento Profissional e Especialização (São Paulo/SP, Brazil).
» Patients displayed in this article previously approved the use of their facial and intraoral photographs.
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Especialista em Cirurgia e Traumatologia Bucomaxilofacial, Universidade de São Paulo, Faculdade de Odontologia (São Paulo/SP, Brazil).
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© Journal of the Brazilian College of Oral and Maxillofacial Surgery
Contact address: Thiago Marques de Mesquita Rua José Afonso de Melo, 118, Harmony Trade Center, sala 214 Jatiúca, Maceió/AL – CEP: 57.036-510 E-mail: thiagomesquita.bucomaxilo@gmail.com
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J Braz Coll Oral Maxillofac Surg. 2019 Jan-Apr;5(1):36-40
