Elderly patients with maxillofacial trauma: study of mandibular condyle fractures. Issue 1 (19th September 2014)

• Record Type: Journal Article
• Authors: Nogami, Shinnosuke; Yamauchi, Kensuke; Yamashita, Toshio; Kataoka, Yoshihiro; Hirayama, Bunichi; Tanaka, Kenko; Takahashi, Tetsu
• Is Part Of: Dental traumatology. Volume 31:Issue 1(2015:Feb.)
• Page Start: 73
• Page End: 76
• Publication Date: 2014-09-19
• Subjects: Teeth -- Wounds and injuries -- Periodicals; Dentistry, Operative -- Periodicals; Traumatology -- Periodicals; Endodontics -- Periodicals; 617.6
• DOI: 10.1111/edt.12129
• Languages: English
• ISSNs: 1600-4469

Abstract

<abstract abstract-type="main" id="edt12129-abs-0001"> <title>Abstract</title> <sec id="edt12129-sec-0001" sec-type="section"> <title>Background/Aim</title> <p>The aim of this study was to investigate the trends and characteristic features of mandibular condyle fractures in elderly patients in terms of etiology, patterns, and treatment modalities.</p> </sec> <sec id="edt12129-sec-0002" sec-type="section"> <title>Patients and methods</title> <p>Records of 201 patients aged 65 years and older, who were treated for maxillofacial fractures at the Department of Oral and Maxillofacial Surgery, Kyushu Dental University, and Tohoku University from January 2002 to December 2013, were retrospectively analyzed. Patient records and radiographs were examined, with the following information: relevant medical history, cause of fracture, the presence and state of premolars and molars in the maxilla and mandible, number and location of mandible fracture, and method of treatment. As for the state of premolars and molars, premolars or molars in the mandible in contact with the maxilla were regarded as contacted.</p> </sec> <sec id="edt12129-sec-0003" sec-type="section"> <title>Results</title> <p>A fall was responsible for the majority of the fractures (173/201). With condyle fractures, there was a significant difference between the contacted and non‐contacted group in regard to incidence. Furthermore, there was a significantly greater number of cases with symphysis and condyle combination fractures in the non‐contacted group (70.9%) than in the contacted group (51.9%). As for the method of treatment, arthrocentesis was the most commonly employed.</p> </sec> <sec id="edt12129-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The present findings suggest that contacted molars in the maxilla and mandible have an influence on condyle fractures in elderly individuals.</p> </sec> </abstract>