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Mandibular fractures are one of the most common maxillofacial bone fractures that can occur during many activities in daily life. The aim of this study was to provide data for practitioners and researchers about the variables and outcomes associated with mandibular fractures by examining the relationships between gender, age groups, trauma causes, side, type, and anatomic location of mandibular fractures and concomitant injuries. The demographic and clinical data of the patients were obtained from the hospital information management system of a university hospital. The hospital records for the 10-year period between 2014 and 2023 were examined retrospectively. The mandible fractures were classified according to type, side, and location and compared against gender, age group, and trauma cause. Evaluation was made of 142 patients with traumatic mandibular fracture, comprising 76.8% males and 23.2% females. Of these cases with mandible fracture, 82.4% were aged < 35 years, and 45.1% of the fractures occurred in road traffic accidents. The majority of mandibular fractures were caused by road traffic accidents in males and adults over the age of 18, whereas home, environmental, and leisure accidents were the major cause of mandibular fractures in females and persons under the age of 18. Compound fractures were determined in 59.2% of the cases, single fractures in 80.3%, and parasymphysis and symphysis fractures in 46.2%. The compound and parasymphysis/symphysis region fractures were more common in males, patients aged < 35 years, and those who had undergone any type of trauma. We consider the information obtained through this study could make significant contributions to the data bank for multicenter prospective in-depth epidemiological research in clinical and forensic sciences in the future.
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http://dx.doi.org/10.1097/MD.0000000000041950 | DOI Listing |
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.