Risk factors for malocclusion in patients with mandibular fractures within 3 months post open reduction and internal fixation surgery at Prof. Dr. IGNG Ngorah General Hospital Denpasar

I Gusti Agung Ayu Sri Chandrawati Pramana; I Made Suka Adnyana; I Wayan Niryana; I Gusti Putu Hendra Sanjaya; Agus Roy Rusly Hariantana Hamid; Elysanti Dwi Martadiani

doi:10.53730/ijhs.v6nS8.13429

Authors

I Gusti Agung Ayu Sri Chandrawati Pramana
chandra182pramana@gmail.com
Resident at Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah Central General Hospital Denpasar, Bali, Indonesia, 80114
I Made Suka Adnyana Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah Central General Hospital Denpasar, Bali, Indonesia, 80114
I Wayan Niryana Department of Neurosurgery, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah Central General Hospital Denpasar, Bali, Indonesia, 80114
I Gusti Putu Hendra Sanjaya Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah Central General Hospital Denpasar, Bali, Indonesia, 80114
Agus Roy Rusly Hariantana Hamid Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah Central General Hospital Denpasar, Bali, Indonesia, 80114
Elysanti Dwi Martadiani Department of Radiology, Faculty of Medicine, Udayana University, Prof. Dr. IGNG Ngoerah Central General Hospital Denpasar, Bali, Indonesia, 80114

Keywords:

malocclusion, mandibular fracture, MMF

Abstract

Open reduction and internal fixation is the gold standard for managing mandibular fractures with the primary goal of restoring premorbid occlusion status. Malocclusion is one of the most common and functionally significant postoperative complications of mandibular fracture. This study aims to determine the factors that influence the occurrence of malocclusion in patients with mandibular fractures three months after open reduction and internal fixation surgery at Prof. Dr. I GNG Ngoerah Hospital Denpasar. This study was an analytic observational study with a retrospective cohort design. The result is the age️of 40 years, mandibular fracture sites in more than one region, a complex type of mandibular fracture, involvement of other facial bones fracture, waiting time for surgery > 7 days, and internal fixation with wire are risk factors for malocclusion within three months postoperatively. Gender was not statistically associated with the incidence of malocclusion post-operation (p-value 0.705). The combination of internal fixation with maxillo-mandibular fixation (MMF) was a preventive factor for postoperative malocclusion (RR 0.4 (CI: 0.23-0.99)). The results of the multivariate analysis showed that the number of fracture locations in more than one region had the highest effect on the occurrence of postoperative malocclusion by 131.7 times.

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References

Apriza, E. and Hasan, C.Y. (2020) ‘Quality of life patients after treatment of mandibular fractures with ORIF in oral surgery departement of Dr . Sardjito general hospital’, 6(1), pp. 16–24.

Arai, D., Yasue, A., Horiuchi, S. and Tanaka, E. (2022) ‘A Multidisciplinary Approach to Malocclusion Caused by Facial Multiple Fracture’, Hindawi Case Reports in Dentistry, 2022, pp. 1–8. Available at: https://doi.org/https://doi.org/10.1155/2022/5209667.

Barker, D.A., Allak, A. and Park, S.S. (2011) ‘Timing for repair of mandible fractures’, Laryngoscope. The American Laryngological, Rhinological and Otological Society, 121(June), pp. 1160–1163. Available at: https://doi.org/10.1002/lary.21775.

Bicsák, Á., Bonitz1, D.A., and Bonitz, L. (2020) ‘Complications after osteosynthesis of craniofacial fractures — an analysis from the years 2015 – 2017’, Oral and Maxillofacial Surgery, pp. 1–8.

Cerqueira, J.G. De (2013) ‘Factors contributing to the surgical retreatment of mandibular fractures’, Braz Oral Res, pp. 1–8.

Chaurasia, A. and Katheriya, G. (2018) ‘Prevalence of mandibular fracture in patients visiting a tertiary dental care hospital in North India.’, National journal of maxillofacial surgery, 9(2), pp. 123–128. Available at: https://doi.org/10.4103/njms.NJMS_8_18.

Dodson, T.B. (2000) ‘Complication rates associated with different treatments of mandibular fractures’, Journal of Oral and Maxillofacial Surgery, 58(3), pp. 280–281. Available at: https://doi.org/10.1016/s0278-2391(00)90052-1.

Dolce, C., Hatch, J., Sickels, J. and Rugh, J. (2002) ‘Rigid versus wire fixation for mandibular advancement: Skeletal and dental changes after 5 years’, American journal of orthodontics and dentofacial orthopedics. 121, pp. 610–619. Available at: https://doi.org/10.1067/mod.2002.123341.

El-Anwar, M.W., Sayed El-Ahl, M.A. and Amer, H.S. (2014) ‘Open Reduction and Internal Fixation of Mandibular Fracture without Rigid Maxillomandibular Fixation’, International Archives of Otorhinolaryngology, 19(4), pp. 314–318. Available at: https://doi.org/10.1055/s-0035-1549154.

Habib, G., Nisa, Z. and Sham, S. (2014) ‘Mandibular Fracture Fixation Mandibular Fracture with Miniplate and MMF for up to two weeks. A Prospective Study’, Med Forum, 25(7), pp. 21–23.

Jain, P. and Rathee, M. (2020) ‘Mandible Body fracture’, NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health, (June), pp. 1–7.

Jha, S.G., Sinha, V. and Swati, T.U.S. (2018) ‘Management of Mandible Fracture by Plating and Wiring : An Otolaryngologist Perspective at Teritiary Care Center’, Indian Journal of Otolaryngology and Head & Neck Surgery [Preprint]. Available at: https://doi.org/10.1007/s12070-018-1332-5.

Jung, H., Lee, B., Kwon, Y. and Choi, B. (2014) ‘Retrospective clinical study of mandible fractures’, j Korean Assoc Oral Medicine, 40, pp. 21–26. Available at: https://doi.org/http://dx.doi.org/10.5125/jkaoms.2014.40.1.21 pISSN.

Kim, S., Choi, Y. and Kim, Y. (2018) ‘Postoperative malocclusion after maxillofacial fracture management : a retrospective case study’, Maxillofacial Plastic and Reconstructive Surgery, 40(27), pp. 2–8.

Lim, S., Jin, K., Han, Y. and Lee, H. (2017) ‘Malocclusion after open reduction of midfacial fracture : a case report’, J Korean Assoc Oral Maxillofac Surg, 43, pp. 53–56. Available at: https://doi.org/https://doi.org/10.5125/jkaoms.2017.43.1.53.

Manalu, E.E., Buchari, F.B., and Tarigan, U.A. (2018) ‘Relation between the Location of the Mandibular Fracture and the Incidence of Post ORIF Malocclusion in H . Adam Malik Central General Hospital Medan , Indonesia’, International Journal of Medical Science and Clinical Invention, 5(04), pp. 3752–3755. Available at: https://doi.org/10.18535/ijmsci/v5i4.08.

Mathog, R.H., Toma, V., Clayman, L. and Wolf, S. (2000) ‘Nonunion of the mandible: an analysis of contributing factors.’, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 58(7), pp. 743–746. Available at: https://doi.org/10.1053/joms.2000.7258.

Mehta, M. and Duda, G.N. (2011) ‘Influence of Gender and Fixation Stability on Bone Defect Healing in Middle-aged Rats : A Pilot Study’, pp. 3102–3110. Available at: https://doi.org/10.1007/s11999-011-1914-y.

Mutia, L. (2015) ‘Tirah Baring Di Ruang Rawat Inap RSUD Arifin Achmad Provinsi Riau Periode Januari 2011- Desember 2013’, Jom Fk, 2(2), pp. 1–11.

Natu, S.S., Shankar, R. and Agarwal, A. (2012) ‘An Epidemiological Study on Pattern and Incidence of Mandibular Fractures’, Plastic Surgery Internationa, 2012(10), pp. 1–7. Available at: https://doi.org/10.1155/2012/834364.

Nyoman, M., Ketut, W.I. and Nyoman, G. (2018) ‘Faktor-faktor risiko terjadinya maloklusi pada pasien fraktur maksilofasial yang menjalani operasi di RSUP Sanglah Denpasar’, Medicina, 49(2), pp. 246–250.

Pickrell, B.B., Serebrakian, A.T. and Maricevich, R.S. (2017) ‘Mandible Fractures’, Semin Plast Surgery, 31, pp. 100–107.

Ramos, A., Semedo, T. and Mesnard, M. (2020) ‘Study of fixation of a mandibular plate for favourable fractures of the mandibular angle : numerical predictions’, British Journal of Oral & Maxillofacial Surgery, 58(6), pp. 652–658. Available at: https://doi.org/10.1016/j.bjoms.2020.03.009.

Renton, T.F. and Wiesenfeld, D. (1996) ‘Mandibular fracture osteosynthesis: a comparison of three techniques.’, The British journal of oral & maxillofacial surgery, 34(2), pp. 166–173. Available at: https://doi.org/10.1016/s0266-4356(96)90372-1.

Rothweiler, R., Schmelzeisen, R. and Gutwald, R. (2017) ‘Outcome and complications after treatment of facial fractures at different times in polytrauma patients’, Journal of Cranio-Maxillo-Facial Surgery [Preprint], (2018). Available at: https://doi.org/10.1016/j.jcms.2017.11.027.

Saman, M., Kadakia, S. and Ducic, Y. (2014) ‘Postoperative maxillomandibular fixation after open reduction of mandible fractures’, JAMA Facial Plastic Surgery, 16(6), pp. 410–413. Available at: https://doi.org/10.1001/jamafacial.2014.543.

Sethuraja, K.M.S. and Thirumalaisamy, T.M.S. (2017) ‘A Study Of Mandible Fractures And Management Analysis .’, 16(12), pp. 5–16. Available at: https://doi.org/10.9790/0853-1612010516.

Subyakto, Y., Sjamsudin, E. and Adiantoro, S. (2021) ‘The characteristics of mandibular fractures in Dr . Hasan Sadikin General Hospital , Bandung , Indonesia’, Bali Medical Journal, 10(2), pp. 591–594. Available at: https://doi.org/10.15562/bmj.v10i2.2340.

Sultana, F. and Haider, I.A. (2018) ‘Epidemiological & Clinical Profile of Patients Presented with Mandible Fracture in a Tertiary Care Hospital’, Journal of Bangladesh College of Physicians and Surgeons, 36(3), pp. 19–23. Available at: https://doi.org/http://dx.doi.org/10.3329/jbcps.v36i3.37034.

Suryantari, S.A.A., Hamid, A.R.R.H. and Sanjaya, I.G.P.H. (2019) ‘The characteristics of mandibular fractures among patients attending Plastic Surgery Unit in Sanglah General Hospital , Bali , Indonesia : A preliminary study’, Bali Medical Journal, 8(2), pp. 457–459. Available at: https://doi.org/10.15562/bmj.v8i2.1418.

Yada, K., Pratap, A. and Dandriyal, R. (2015) ‘ScienceDirect Incidence and pattern of mandibular fractures in Rohilkhand region , Uttar Pradesh state , India : A retrospective study’, Journal of Oral Biology and Craniofacial Research, 5(3), pp. 140–145. Available at: https://doi.org/10.1016/j.jobcr.2015.07.007.