ArticleDental traumatology : official publication of International Association for Dental Traumatology2022
Mandibular fractures in aged patients - Challenges in diagnosis.
Article in Dental traumatology : official publication of International Association for Dental Traumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 17 citations in OpenAlex.
- Assessment of health technician students' awareness of dental trauma in Turkey.BMC medical education · 2026Article
- Clinical and anatomical characteristics of mandibular angle fractures: a 10-year retrospective monocentric cohort study.Frontiers in oral health · 2026Article
- Evaluation of geriatric head and neck trauma cases in a German highest-level trauma centre from 2018 to 2024.BMC geriatrics · 2025Article
- Aging has occurred rapidly in the facial fracture population - are we ready?Clinical oral investigations · 2025Article
- Bilateral Mandibular Condylar Fractures.JMA journal · 2025Article
- Diagnostic Utility of the "Air Sign" as a Radiological Indicator for Mandibular Body and Angle Fractures.Journal of clinical medicine · 2024Article
- Surgical treatment of clinically infected mandibular fractures.Oral and maxillofacial surgery · 2024Article
- Mandibular fractures in aged patients - Challenges in diagnosis.Dental traumatology : official publication of International Association for Dental Traumatology · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsDelayed treatment of a mandibular fracture can lead to complications. Therefore, early diagnosis is important. The aim of this study was to clarify the specific features of mandibular fractures in aged patients and the effect of age on possible missed diagnoses. MATERIAL AND
methodsPatients aged over 60 years with a recent mandibular fracture were included in the study. The outcome variable was a missed mandibular fracture during the patient's first assessment in the primary health care facility. Predictor variables were age group, categorized as older adults (aged ≥60 and <80 years), elders (aged >80 years), patient's age as a continuous variable and age sub-group divided into decades. Additional predictor variables were the patient's memory disease and injury associated with intracranial injury. Explanatory variables were gender, injury mechanism, type of mandibular facture, combined other facial fracture, edentulous mandible/maxilla/both, surgical treatment of the mandibular fracture, and scene of injury.
resultsMandibular fractures were missed in 20.0% of the 135 patients during their first healthcare assessment. Significant associations between missed fractures and age group, gender, fracture type, or injury mechanism were not found. By contrast, memory disorder (p = .02) and site of injury (p = .02) were significantly associated with missed fractures. Fractures were missed more frequently in patients who were in hospital or in a nursing home at the time of injury.
conclusionsThere is an increased risk of undiagnosed mandibular fractures in the aged population. Small injury force accidents may cause fractures in old and fragile individuals. Careful examination is necessary, especially in patients with memory disorder.
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