Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
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- Typically due to a direct force
- The most common area fractured is the angle, followed by the condyle, molar, and mental regions.
- Because of its thickness, the mandibular symphysis is rarely fractured.
- Multiple fractures are seen in >50% of cases owing to the ring-like structure of the mandible.
- Bilateral mandibular fractures most commonly result from motor vehicle accidents (MVAs).
- Open fractures are common, including lacerations of the gum overlying a fracture.
- The mandible is the 3rd most common facial fracture following nasal and zygomatic fractures.
- MVAs, personal violence, contact sports, or industrial accidents
- Patients are often intoxicated and unable to give a clear history of events.
- Facial and head lacerations and facial fractures are the most commonly associated injuries.
- Mandibular fractures are uncommon in children <6 yr of age; when they do occur, they are often greenstick fractures and can be managed with soft diet alone.
- Inform parents that because any fracture of the mandible may damage permanent teeth, follow-up with a specialty consultant is advisable.
- Refer pediatric patients to a specialist with experience in children due to issues with growth plates and permanent teeth.