Associação entre a presença de terceiros molares inferiores não erupcionados e o risco de fratura de ângulo mandibular / Association between the presence of unerupted mandibular third molars and the risk of mandibular angle fracture

Hudson Guterres Guilherme, Ian Silva Ferreira, Jonatha Matheus Mendes Moreira, Luis Raimundo Serra Rabelo, Evandro Portela Figueiredo, Paulo Maria Santos Rabelo Junior

Abstract


Existe uma hipótese levantada na literatura de que a presença de terceiros molares não erupcionados interfere em características biomecânicas da mandíbula, de forma que a região de ângulo mandibular fica mais suscetível a fraturas. Assim, o objetivo deste trabalho foi investigar essa possível associação.  Metodologia: Revisão bibliográfica de caráter qualitativo em que se realizou coleta de dados nas plataformas SCIELO e PUBMED usando os descritores: Fratura Mandibular, Ângulo Mandibular, Terceiros Molares, Dentes não Erupcionados e Dentes Impactados. Resultados: Foram incluídos na pesquisa 20 artigos que concordam no que diz respeito à associação entre fraturas de ângulo mandibular e a presença e terceiros molares não irrompidos, porém divergem quando se trata da influência do grau de impactação e angulação desses dentes na ocorrência de fraturas angulares. Conclusão: É possível inferir que a presença de terceiros molares está associada a fraturas de ângulo mandibular, porém novos estudos devem ser desenvolvidos, abordando a influência do posicionamento desses dentes nesta associação.


Keywords


Terceiros Molares, Ângulo Mandibular, Fratura Mandibular, Dentes não Erupcionados.

References


ARMOND, A. C. V. et al. Influence of third molars in mandibular fractures. Part 1: mandibular angle—a meta-analysis. International Journal of Oral and Maxillofacial Surgery, v. 46, n. 6, p. 716–729, 2017.

BEZERRA, T. P. et al. Do erupted third molars weaken the mandibular angle after trauma to the chin region? A 3D finite element study. International Journal of Oral and Maxillofacial Surgery, v. 42, n. 4, p. 474–480, 2013.

BRUCOLI, M. et al. The relationship between the status and position of third molars and the presence of mandibular angle and condylar fractures. Oral and Maxillofacial Surgery, v. 24, n. 1, p. 31–36, 2019.

FUSELIER, J. C.; ELLIS, E. E.; DODSON, T. B. Do mandibular third molars alter the risk of angle fracture? Journal of Oral and Maxillofacial Surgery, v. 60, n. 5, p. 514–518, 2002.

GADDIPATI, R. et al. Impacted mandibular third molars and their influence on mandibular angle and condyle fractures - A retrospective study. Journal of Cranio-Maxillofacial Surgery, v. 42, n. 7, p. 1102–1105, 2014.

GIOVACCHINI, F. et al. Association between third molar and mandibular angle fracture: A systematic review and meta-analysis. Journal of Cranio-Maxillofacial Surgery, v. 46, n. 4, p. 558–565, 2018.

HALMOS, D. R.; ELLIS, E.; DODSON, T. B. Mandibular third molars and angle fractures. Journal of Oral and Maxillofacial Surgery, v. 62, n. 9, p. 1076–1081, 2004.

HANSON, B. P. et al. The association of third molars with mandibular angle fractures: A meta-analysis. Journal of the Canadian Dental Association, v. 70, n. 1, p. 39–43, 2004.

KANDEL, L. et al. Impact of mandibular third molars on angle fractures: A retrospective study. Dental Traumatology, v. 37, n. 1, p. 103–107, 2021.

MA’AITA, J.; ALWRIKAT, A. Is the mandibular third molar a risk factor for mandibular angle fracture? Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, v. 89, n. 2, p. 143–146, 2000.

MEHRA, A.; ANEHOSUR, V.; KUMAR, N. Impacted Mandibular Third Molars and Their Influence on Mandibular Angle and Condyle Fractures. Craniomaxillofacial Trauma & Reconstruction, v. 12, n. 4, p. 291–300, 2019.

MENON, S. et al. Correlation of Third Molar Status with Incidence of Condylar and Angle Fractures. Craniomaxillofacial Trauma & Reconstruction, v. 9, n. 3, p. 224–228, 2016.

NAGHIPUR, S.; SHAH, A.; ELGAZZAR, R. F. Does the presence or position of lower third molars alter the risk of mandibular angle or condylar fractures? Journal of Oral and Maxillofacial Surgery, v. 72, n. 9, p. 1766–1772, 2014.

NOGAMI, S. et al. Do mandibular third molars play a role in fractures of the mandibular angle and condyle? Journal of Craniofacial Surgery, v. 29, n. 7, p. e713–e717, 2018.

PATIL, P. M. Unerupted lower third molars and their influence on fractures of the mandibular angle and condyle. British Journal of Oral and Maxillofacial Surgery, v. 50, n. 5, p. 443–446, 2012.

RAHIMI-NEDJAT, R. K. et al. Association between eruption state of the third molar and the occurrence of mandibular angle fractures. Dental Traumatology, v. 32, n. 5, p. 347–352, 2016.

RUELA, W. DE S. et al. Does an Association Exist Between the Presence of Lower Third Molar and Mandibular Angle Fractures?: A Meta-Analysis. [s.l.] Elsevier Ltd, 2018. v. 76

SAMIEIRAD, S. et al. Correlation Between Lower Third Molar Impaction Types and Mandibular Angle and Condylar Fractures: A Retrospective Study. Journal of Oral and Maxillofacial Surgery, v. 77, n. 3, p. 556–564, 2019.

SOÓS, B. et al. Association Between Third Molar Impaction Status and Angle or Condylar Fractures of the Mandible: A Retrospective Analysis. Journal of Oral and Maxillofacial Surgery, v. 78, n. 7, p. 1162.e1-1162.e8, 2020.

XU, S. et al. How Is Third Molar Status Associated With the Occurrence of Mandibular Angle and Condyle Fractures? Journal of Oral and Maxillofacial Surgery, v. 75, n. 7, p. 1476.e1-1476.e15, 2017.




DOI: https://doi.org/10.34119/bjhrv4n3-285

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