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Retrospective clinical study of mandible fractures

Maxillofacial Plastic and Reconstructive Surgery 2022³â 44±Ç 1È£ p.36 ~ 36
Â÷½ÂÁø, ¹Ú°¡Àº, À̹é¼ö, ±Ç¿ë´ë, ÃÖº´ÁØ, ÀÌÁ¤¿ì, Á¤ÁØÈ£, ¿ÀÁÖ¿µ,
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Â÷½ÂÁø ( Cha Seung-Jin ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
¹Ú°¡Àº ( Park Ga-Eun ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
À̹é¼ö ( Lee Baek-Soo ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
±Ç¿ë´ë ( Kwon Yong-Dae ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
ÃÖº´ÁØ ( Choi Byung-Joon ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
ÀÌÁ¤¿ì ( Lee Jung-Woo ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
Á¤ÁØÈ£ ( Jung Jun-Ho ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery
¿ÀÁÖ¿µ ( Ohe Joo-Young ) - Kyung Hee University School of Dentistry Department of Oral and Maxillofacial Surgery

Abstract


Background: As society becomes more complex, the incidence of mandibular fractures is increasing. This study aimed to analyze the incidence and type and identify etiological factors of mandibular fractures to use them in future treatments.

Material and methods: Data were collected from 224 patients who visited the department of oral and maxillofacial surgery at the Kyung Hee Medical Center dental hospital during a 6-year period (2016 to 2021). A logistic regression model was used for data analysis.

Results: In a total of 224 patients, 362 fractures were appeared. The average age of the patients was 34.1 years, with the highest incidence in the 20s. And the ratio between male and female was 4.09:1. Symphysis fractures were the most prevalent of all patients (52.7%), followed by unilateral condyle (37.1%), angle (36.2%), bilateral condyle (9.4%), body (8%), and coronoid (2.2%). The most common cause of fracture was daily-life activity (57.6%), followed by violence (30.4%), traffic accidents (8.5%), and syncope (3.6%). Patients with symphysis fracture were at low risk (OR < 1) of angle, body, and unilateral condyle fractures. Similarly, patients with unilateral fracture were at low risk (OR < 1) of symphysis, angle, body, and others site fractures. In contrast, patient with bilateral condyle fracture were at high risk (OR > 1) of coronoid fractures. And younger patients were high risk of mandibular angle fractures.

Conclusion: Through this study, it was confirmed that etiological factors of mandibular fractures were like those of previous studies.

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Mandibular fractures; Trauma; Jaw fractures

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