Limited study suggests that use of semi-rigid plates and screws reduce mandibular fracture treatment costs


Fractures of the mandible are a common occurrence.  Two approaches to treatment of mandibular fractures are; rigid fixation using large titanium plates and bicortical screws that function in a load-bearing manner using Arbeitsge-menschaft fur Osteosynthesefragen (AO) principles or semi-rigid fixation using small titanium plates and monocortical screws that function in a load-sharing manner placed according [read the full story…]

Inadequate evidence to support the effectiveness of treatment of mandibular fractures without condylar involvement


Fracture of the mandible is a common facial injury with interpersonal violence and road traffic accidents being the leading causes of this type of injury.  Treatment usually involves immobilisation with intermaxillary fixation (IMF) or other external or internal devices (i.e. plates and screws) to allow bone healing and may involve surgical (open) or non-surgical (closed) [read the full story…]

Little good quality evidence on whether to leave or remove impacted third molars involved in fractures of the angle of the mandible


Fracture of the mandible often occurs through the angle where it may be closely related to, or involve an impacted third molar. There is a debate about whether they should always be extracted or retained.  The aim of this review was to measure the occurrence of postoperative infection following mandibular fixation performed in the presence [read the full story…]

Plating fractures of the angle of the mandible via a transbuccal approach may result in lower infection rates

shutterstock_5410882 dentist x-ray

The aim of this study was to investigate whether fixation of fractures of  the mandibular angle  using miniplates placed through a transbuccal approach  resulted in lower infection rates that those placed on the mandibular external oblique ridge using an intra-oral approach. What did they do Patients were randomised (by year of birth) to having their [read the full story…]

Are there fewer complications with closed reductions of mandibular fractures

shutterstock_1033529- OPT with screws  for fractures

This systematic review was first published in  2008. The American Dental Association Center for Evidence-based Dentistry has now published a critical summary of the review. They highlighted as number of  methodological issues with the review and all of the included studies were retrospective studies. They found that the review was :- unable to demonstrate a [read the full story…]