SynthesisOral and maxillofacial surgery2016
Identifying the risk factors causing iatrogenic mandibular fractures associated with exodontia: a systemic meta-analysis of 200 cases from 1953 to 2015.
Synthesis in Oral and maxillofacial surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Effectiveness of real-time dynamic navigation in third molar extraction: a systematic review.BMC oral health · 2026Pooled it
- Wisdom teeth removal and anterior alignment stability after orthodontic treatment-a systematic review.Clinical oral investigations · 2026Pooled it
- A cone-beam computed tomography-based morphometric comparison of mandibular molars between Han Chinese and Malays.Journal of dental sciences · 2026Article
- Pathological Fractures of the Mandible: Our Department's 15-Year Experience.Diagnostics (Basel, Switzerland) · 2025Article
- Evaluation of residual bone mass of the mandibular third molar and the risk of mandibular fracture.Medicina oral, patologia oral y cirugia bucal · 2024Article
- Infraocclusion in the Primary and Permanent Dentition-A Narrative Review.Medicina (Kaunas, Lithuania) · 2024Review
- Accidental Intraoperative Mandibular Fracture in a Third Molar Surgery: When Surgical Skills Are Mandatory in the Face of Empiricism.Case reports in dentistry · 2023Article
- Article
- Prevalence of intraoperative and postoperative iatrogenic mandibular fractures after lower third molar extraction: A systematic review.Journal of clinical and experimental dentistry · 2022Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIatrogenic fracture of mandible (IFM) associated with exodontia though rare, they do occur with an incidence ranging from 0.0034 to 0.0075 %. Most of the data is in the form of case reports or a small case series. This is an attempt to amass the data available in literature since the last 62 years. The purpose of this meta-analysis is to identify the etiologies and risk factors leading to IFM associated with exodontia and also the measures to minimize the complication.
methodsArticles published between 1953 and 2015 were searched in Medline database. Data was collected and analyzed based on age, gender, extracted tooth, status of dentition, pathological bone lesion adjacent to the tooth, type of impaction, angulation of the impacted third molar, site of fracture, side of fracture, time of fracture, and treatment of fracture.
resultsA review identified 200 documented cases of IFM associated with the removal of teeth. The reasons for its occurrence found to be multifactorial with a higher incidence in the fifth decade of life with male prevalence. Risk factors more commonly identified were removal of the third molar, fully dentate patient, associated pathology, impacted tooth, angle region, left quadrant, and time interval of 3 weeks postoperatively.
conclusionsIFM related to the removal of teeth is a rare complication. Identifying and addressing the risk factors will enable the surgeon to avoid the complication of IFM associated with exodontia.
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