Spontaneous fractures of the mandible concept and treatment strategy
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Spontaneous fractures of the mandible concept and treatment strategy

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Spontaneous fractures of the mandible concept and treatment strategy

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dc.contributor.author Carlsen, Anja es
dc.contributor.author Marcussen, Mette es
dc.date.accessioned 2016-04-06T12:32:23Z
dc.date.available 2016-04-06T12:32:23Z
dc.date.issued 2016 es
dc.identifier.uri http://hdl.handle.net/10550/52022
dc.relation es
dc.source Carlsen, Anja ; Marcussen, Mette. Spontaneous fractures of the mandible concept and treatment strategy. En: Medicina oral, patología oral y cirugía bucal. Ed inglesa, 2016, Vol. 21, No. 1: 88- es
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Spontaneous fractures of the mandible concept and treatment strategy es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.description.abstractenglish Background: Spontaneous fractures of the mandible dispose a surgical challenge in comparisons to fractures caused by trauma due to several complicating factors. Additionally: controversies exist concerning the terminology of the field. Material and Methods: We conducted a retrospective study of all patients with mandibular fractures, with exclusion of fractures of the coronoid process and the alveolar process, treated at the Department of Oral and Maxillofacial Surgery, Aalborg University Hospital, Denmark between February 2003 and February 2013. Data collected from the medical records included sex, age, cause of fracture, site of fracture, and treatment. Results: We identified 517 patients with 684 mandible fractures. Twenty-five of these were spontaneous fractures and 659 fractures were of traumatic origin. Condylar fractures rarely occur spontaneously, but constitute the majority of the traumatic fractures. Excluding these fractures from the analysis, we found a non-surgical approach in 14 of 24 (58%) of the spontaneous fractures and 110 of 376 (29%) of the traumatic fractures. This was statistically significant. Conclusions: We found a statistical significant difference in favor of non-surgical approach in spontaneous fractures and we discussed the treatment challenges of these fractures. We addressed the terminological controversies regarding pathological fractures, and suggested the term spontaneous fractures denoting a fracture occurring during normal jaw function being either pathological or non-pathological. es

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