Management of Fracture Mandible among Patients Attending Dental OPD Bahawal Victoria Hospital and Quid-e-Azam Medical College, Bahawalpur

Abstract

Objective: To determine fracture mandible presentation and its reduction along with outcome under local anesthesia treated by eyelet dental wiring as intermaxillary fixation (IMF)

Patients & Methods: This descriptive hospital patient’s records base study was carried out among outdoor patients with clinical history of fracture mandible and confirmed through panoramic or plain X-rays mandible AP view at Department of Oral and Dental Surgery BVH/QMC, Bahwalpur in one year from January 2015 to December 2015. A total 140 patients treated under local anesthesia regardless of age and gender either directly approaching Dental OPD or through our Hospital Department of Accident & Emergency and admitted cases within various wards of our institution with proper referral. The patients with history of any medical compromised condition were excluded from our study until they were fit for oral and dental surgery. The patients data was recorded for analysis on the important variables like age, area of residence, gender, socioeconomic status, nature of oral & dental trauma, site of mandible fracture, any other associated injury, radiological evidence of fracture mandible and the its management outcome through intermaxillary fixation.

Results: Out of total 140 cases fracture of mandible were reduced under local anesthesia of regardless age and gender, the most common site to be fracture of the mandible recorded was at the angle of mandible 38 (27%) while body of mandible 32 (23%, the other sites noticed were 24 (17%) of the facture at the condyle of the mandible, 21 (15%) on the parasymphsis and symphsis 15 (11%) region 10 (07%) of dento-alveolor region as well. The most frequent cause determined for the fracture of the mandible was the motor cycle road side traffic accident 67 (47%) mostly in the young adult age group, while assaults 33(24%) and history of fall 19 (14%), inter personal fight 14(10%) sports related injuries were only 07 (05%). All of these fracture mandibles were reduced at the dental OPD by eyelet dental wiring as intermaxillary fixation for 4–6 week under local anesthesia as day care oral and dental surgery.

Conclusion: The most common cause of the fracture mandible in our study setting was determined the road side traffic accident mostly among the young adults on motor cycles without a driving license with other associated injury of head and neck and the limbs as well.