The “European Mandibular Angle” Research Project: The Epidemiologic Results From a Multicenter European Collaboration

Matteo Brucoli*, Paolo Boffano, Andrea Pezzana, Arnaldo Benech, Pierre Corre, Helios Bertin, Petia Pechalova, Nikolai Pavlov, Petko Petrov, Tiia Tamme, Andrey Kopchak, Anna Romanova, Eugen Shuminsky, Emil Dediol, Marko Tarle, Vitomir S. Konstantinovic, Drago Jelovac, K. Hakki Karagozoglu, Tymour Forouzanfar

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Purpose: The aim of this study was to analyze the demographic variables and causes and characteristics of mandibular angle fractures managed at several European departments of maxillofacial surgery. Materials and Methods: This study was based on a multicenter systematic database that allowed the recording of data from all patients with mandibular angle fractures between January 1, 2013, and December 31, 2017. The following data were recorded: gender, age, etiology, side of angle fracture, associated mandibular fractures, presence of third molar, intermaxillary fixation, and osteosynthesis. Results: The study included 1,162 patients (1,045 male and 117 female patients). A significant association was found between the presence of a third molar and the diagnosis of an isolated angle fracture (P <.0000005). Furthermore, assaults were associated with the presence of voluptuary habits (P <.00005), a younger mean age (P <.00000005), male gender (P <.00000005), and left-sided angle fractures (P <.00000005). Conclusions: Assaults and falls actually represent the most frequent causes of angle fractures. The presence of a third molar may let the force completely disperse during the determination of the angle fracture, finding a point of weakness.

Original languageEnglish
Pages (from-to)791.e1-791.e7
JournalJournal of Oral and Maxillofacial Surgery
Volume77
Issue number4
DOIs
Publication statusPublished - Apr 2019

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