Tooth in fracture line: extract or maintain?

Thiago Marques de Mesquita, Basílio de Almeida Milani, Thais Benedetti Haddad Cappellanes, Rosany Guarnnetti dos Santos, Talita Lopes

Fractures located in the mandibular angle may contain teeth in the fracture line and, over the years, different opinions have been observed on the need for extraction or maintenance of these teeth in the fracture line. The objective of this study was to report two cases of treatment of mandibular fractures, with tooth presence in the fracture line, discussing the indications of maintenance and extraction of these teeth. In the first case, it was decided to perform the extraction of the tooth associated with mandibular fracture line. In the second patient, it was opted to maintain this tooth in the fracture line. As a result, we have succeeded in the treatment both in the case where the tooth was maintained and in the case where tooth extraction was performed. We have concluded that must be extracted during surgery teeth that do not have any condition that allows its maintenance, or to prevent the reduction of the fracture. Sound teeth or teeth that facilitate the reduction and fixation of mandibular fractures, even present in mandibular fracture line, must be preserved. The preservation of a tooth in the mandibular fracture line does not increase the chance of infection, provided there is no indication of dental extraction.

Keywords: Tooth. Mandibular fractures. Tooth extraction.

How to cite: Mesquita TM, Milani BA, Cappellanes TBH, Santos RG, Lopes T. Tooth in fracture line: extract or maintain? J Braz Coll Oral Maxillofac Surg. 2019 Jan-Apr;5(1):36-40. DOI: https://doi.org/10.14436/2358-2782.5.1.036-040.oar

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