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A mandibular body fracture related to mouth-opening training in a dialysis patient.
- Source :
-
Dental traumatology : official publication of International Association for Dental Traumatology [Dent Traumatol] 2011 Aug; Vol. 27 (4), pp. 318-20. Date of Electronic Publication: 2011 Apr 29. - Publication Year :
- 2011
-
Abstract
- A mandibular body fracture related to mouth-opening training in a dialysis patient is reported. A 61-year-old male patient had noticed pain in the right mandibular body and difficulty in mouth opening a week previously. The patient had been performing mouth-opening training for a couple of weeks. The right lower face was slightly swollen with tenderness at the right lower border of the mandible. Hypoesthesia of the right lower lip was also observed. A bone step was palpable on the alveolar ridge of the right mandible, but mobility was not marked. The mandible was atrophic in the body region with only four anterior teeth left. Panoramic X-ray examination revealed a moderately displaced fracture in the right molar region of the mandible. The patient had no severe pain or difficulty in eating using a partial denture. The patient had received dialysis for 17 years and had also been treated by warfarin and aspirin. The patient was followed up under restricted mouth opening. Osteosynthesis with bone remodeling was confirmed after 6 months by X-ray examination. No complication requiring further treatment occurred during the follow-up period. In this patient, a medically compromised condition under long-term dialysis is considered a predisposing factor, which made the atrophic mandible more susceptible to the stress related to mouth-opening training.<br /> (© 2011 John Wiley & Sons A/S.)
- Subjects :
- Alveolar Bone Loss complications
Humans
Male
Mandibular Fractures physiopathology
Middle Aged
Range of Motion, Articular
Temporomandibular Joint Disorders complications
Temporomandibular Joint Disorders therapy
Mandibular Fractures etiology
Muscle Stretching Exercises adverse effects
Renal Dialysis adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1600-9657
- Volume :
- 27
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Dental traumatology : official publication of International Association for Dental Traumatology
- Publication Type :
- Academic Journal
- Accession number :
- 21535403
- Full Text :
- https://doi.org/10.1111/j.1600-9657.2011.01008.x