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Objective: To determine the biomechanical characteristics of mandibular fractures in different site.
Methods: Nine adult mandibular specimens were measured precisely. The data was used to establish a three-dimensional model. When mandibular was under functional loading, the bending and torsion moment as well as shear force of angle, body and symphyseal fracture was calculated. The data were analyzed by Origin 6.0 software.
Results: Angle fracture had relatively high positive bending moment and high shear force. Body fracture had positive as well as negative bending moment and the highest torsion moments. Symphyseal fracture had only negative bending moment and relatively low shear force.
Conclusion: Angle, body and symphyseal fractures each have a biomechanics characteristic. These biomechanics characteristic should have an important meaning in the treatment of mandibular fractures and instructing patient how to bite correctly.
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J Stomatol Oral Maxillofac Surg
September 2025
Senior Consultant (Maxillofacial Head and neck Surgery), Dental and Maxillofacial Unit, Bahrain defence force Royal Medical Services, Bahrain.
This systematic review and meta-analysis aimed to critically evaluate and synthesize the available evidence on the use of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) in the management of mandibular and non-mandibular maxillofacial fractures. A comprehensive search of electronic databases was conducted up to February 2025 based on predefined inclusion criteria. The risk of bias in randomized controlled trials was assessed using the Cochrane Risk of Bias (ROB) tool, while the Newcastle-Ottawa Scale was applied to observational studies.
View Article and Find Full Text PDFAnn Plast Surg
September 2025
Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.
Background: Mandibular fractures are the most common facial fractures treated in the emergency setting, with significant variability in operative management across surgical specialties. Plastic and reconstructive surgery (PRS), otolaryngology (ENT), and oral and maxillofacial surgery (OMFS) each approach mandibular fracture repair with different philosophies, particularly regarding tooth extraction within the fracture line. However, few studies directly compare these practices.
View Article and Find Full Text PDFJ Craniomaxillofac Surg
September 2025
Department of Stomatology and Maxillofacial Surgery, Louis Pasteur University Hospital Košice, Pavol Jozef Šafárik University, Faculty of Medicine, Rastislavova 43, Košice, Slovakia.
The COVID-19 pandemic significantly impacted global healthcare, including patterns of maxillofacial trauma. This multicentre retrospective study analysed 3954 patients treated from January 2018 to December 2023 at hospitals in Bratislava, Martin, and Kosice, covering three periods: pre-COVID, during COVID, and post-COVID. Data included patient demographics, trauma causes, treatment methods, and complication rates.
View Article and Find Full Text PDFRestor Dent Endod
August 2025
Private Practice, San Ramon Endodontics, San Ramon, CA, USA.
Endodontic-periodontal lesions (EPLs) complicated by cemental tears present a diagnostic and therapeutic challenge. This case report describes the successful management of a 66-year-old male patient with a mandibular second molar (#18) exhibiting an EPL complicated by a cemental tear. Clinical examination revealed a draining sinus tract, deep periodontal pockets, and radiographic evidence of a "J-shaped" lesion and a radiopaque cemental fragment.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
September 2025
Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Background: Craniomaxillofacial (CMF) trauma constitutes a significant proportion of hospital presentations, often resulting from high-energy mechanisms such as interpersonal violence and traffic accidents. The COVID-19 pandemic and associated public health restrictions markedly altered daily life and social behavior, potentially influencing trauma patterns and emergency healthcare utilization.
Methods: We conducted a retrospective analysis of nationwide anonymized inpatient data from German hospitals, reported to the National Institute for the Hospital Remuneration System (InEK), covering the period from March 18, 2019 to March 17, 2023.