Frequency of Infection after Extraction of Involved Third Molar in Mandibular Angle Fractures Treated with Rigid Fixation
DOI:
https://doi.org/10.21649/akemu.v19i1.474Abstract
Abstract
Objective: To determine the frequency of post-ope-rative infection in patients with mandibular angle fra-ctures treated with rigid fixation after extraction of in-volved third molar.
Materials and Methods: In a total of 100 patients undergoing open reduction and internal fixation of mandibular angle fractures in which involved third molar will be extracted were included from Depart-ment of Oral and Maxillofacial Surgery, Mayo Hos-pital, Lahore. Procedure was performed by the same consultant and post operatively patients were assessed by two post graduate trainees who were trained previously to check Infection, on 1st, 2nd,4th and 6th weeks post operatively. All the observations were entered on preformed proforma. Data was entered & analyzed by using SPSS version 10.0Results: According to this study, the mean age of patients was 33.22 + 9.155 years. Minimum and maxi-mum age of patients was 18 years and 50 years with range of 32 years. There were 83 (83.0%) male pati-ents while only 17 (17%) female patients presented with mandibular angle fractures. The rate of infection at week 1 was higher [9 (9.0%) cases], but gradually decreased in next follow up. 8 (8.0%) at 2nd week, 7 (7.0%) at week 4 and only 6 (6.0%) in last follow up at week 6 after open reduction and internal fixation of mandibular angle fractures with extraction of third molar.
Conclusion: The frequency of post-operative infection in patients with mandibular angle fractures treated with rigid fixation after extraction of third molar was 30% at different follow ups in which 9% patients had infection at first week, 8 patients had at 2nd week, 7 patients had at 6th week and 6% patients presented with infection at last follow up. Overall the infection rate is lower in patients with mandibular angle fractu-res treated with rigid fixation after extraction of third molar.Key words: Angle mandibular fracture, third molar and maxillofacial infection.
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