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Dental Practice 2019
Dentistry and Craniofacial Research
ISSN: 2576-392X
Page 31
January 28-29, 2019
Barcelona, Spain
27
th
International Conference on
Dentistry and Dental Practice
T
he inflammatory morbidities associated with mandibular
fractures have led to the timing of the surgical repair of
the fractured segments being a controversial issue in oral and
maxillofacial surgical practice. To evaluate the relationship
between the degree of pre-operative pain and trismus with
the development of complications following repair of isolated
unilateral compound mandibular body fractures using closed
reduction technique. This was a 7 year prospective study
carried out at the Dental and Maxillofacial Surgery Clinic of the
University of Calabar TeachingHospital, Calabar, Nigeria. Eighty
three subjects (83; males: 66, females: 17), were evaluated for
trismus and pain in a blinded manner by a single examiner pre-
operatively, and complications recorded postoperatively. The
data obtained were statistically analyzed with Environmental
Performance Index (EPI) info 2008 version software. Out of
the 97 patients that presented, 83/97 (85.6%) were treated,
while 13 (15.7%) developed complications. The male-to-
female ratio was 5:1. The fractures were commonest in the
age range of 21-40 years (n=45, 54.2%). The age (p=0.02) and
gender (p=0.01) distribution of subjects were significant. The
more severe the limitation of mouth opening (p=0.03) and pain
(p=0.04) before treatment, the more complications develop;
and these significantly affected treatment outcome. Impaired
mastication and facial asymmetry (n=17, 41.5%) were the most
common complications. This study showed that post-trauma
pain and trismus due to unilateral mandibular body fractures
may be associated with the development of complications.
An adequately powered prospective study treating patients
at 5 or 7 days is required in order to make the case for later
intervention.
Biography
Charles E Anyanechi has completed his Fellowship in Oral and Maxillofa-
cial Surgery at West Africa Postgraduate Medical College, Lagos, Nigeria.
He is an Associate Professor of Oral and Maxillofacial Surgery, in the Oral
and Maxillofacial Unit, Department of Dental & Maxillofacial Surgery. He has
published more than 60 papers in reputed journals and has been serving as
Head of Department and Editorial Board Member of several journals within
and outside Nigeria.
ceanyanechi@gmail.comInflammatory morbidity due to compound
mandibular body fractures: Does it have a
relationship with treatment outcome?
Charles E Anyanechi
1, 2
and
Birch D Saheeb
3
1
University of Calabar, Nigeria
2
University of Calabar Teaching Hospital, Nigeria
3
University of Benin Teaching Hospital, Nigeria
Charles E Anyanechi et al., J Den Craniofac Res 2019, Volume 4
DOI: 10.21767/2576-392X-C1-015