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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

January 2007
Volume 38 , Issue 1

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Complicated late mandibular fracture following third molar removal

Kai Wolfgang Wagner, DDS / Ralf Schoen, MD, DDS, PhD / Chanchai Wongchuensoontorn, MD, DDS / Rainer Schmelzeisen, MD, DDS, PhD

Pages: 6365
PMID: 17216910

Mandibular fractures are a rare complication after third molar removal. Symptoms show a wide variance. Treatment options range from prescription of a soft diet to surgical treatment by open reduction and internal fixation. This article describes a patient who presented a late mandibular fracture following third molar removal. The fracture was not detectable in radiographs at the time of fracture. Six weeks after the reported cracking noise, the patient presented a mandibular fracture with associated osteomyelitis. Treatment by open reduction and internal fixation and autologous iliac crest graft was performed via a submandibular approach. The delayed diagnosis of this pathologic fracture demonstrates the necessity of repeated radiologic controls to prevent osteomyelitis when a fracture is suspected. (Quintessence Int 2007;38:6365)

Key words: complication, osteomyelitis, pathologic mandibular fracture, third molar

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