A Proposed Easy-to-Use Classification of Mandibular Fractures

1365 Words6 Pages
There are many classifications put forward for describing mandibular fractures. Most of these classifications are not without complexity, making it difficult to use it for clinicians specially in emergency circumstances. Some of them are very comprehensive and gather too much information which can be good for theoretical purposes but not for practical utilization in clinics and hospitals.
Clinicians prefer to use easy and ready-to-be used type of classification. Le forte classification for maxillary fractures though not very comprehensive but still used by most clinician because of its simplicity. Similarly recently Graham Mount has proposed a new classification for dental caries. Though it gives detailed information regarding size and…show more content…
The multiple fractures of the mandible were divided it into five patterns:
1. Bilateral in the body of the mandible (b-b).
2. Bilateral in the body and in the condylar process (b-c).
3. Trilateral in the body and in the condylar process (b-b-c).
4. Trilateral in the body and in both condylar processes (b-c-c).
5. Numerous fractures (n).
Note: No consent was necessary because we reviewed only the patients' records and no patient personal data was taken. This study approved in accord with IRB standards.
Results
Records of 2767 fracture lines in 1745 patients, fracture line, mostly were found at the angle of the mandible (31.5%), and then in the condylar process (26.9%). The third most common place was in the canine and premolar area (19.4%). Unilateral fractures occurred in 739 (42.4%) patients, while multiple fractures occurred in 1006 (57.6%) patients. Unilateral fractures occurred at the angle of the mandible (14.6%), then in the condylar process (11.4%), and the third place of occurrence was in the area of canine and premolars (7.6%) (Table 1).
The patterns of multiple mandibular fractures show the fracture of the body of the mandible on both side (b-b) occurred in 421 (24.1%) patients while fracture of the body of the mandible with condylar process fracture (b-c) occurred in 456 (26.1%) cases, and numerous fractures hit 72
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