Etiopathogenesis of pathological mandibular fracture: literature review and case reports
ABSTRACT Pathological mandibular fractures are fractures induced by pathologies affecting the mandible’s base or those resulting from forces that would typically be tolerable if the bone were not compromised by an underlying condition. These fractures often present complex clinical scenarios owing t...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Faculdade São Leopoldo Mandic
2023-11-01
|
| Series: | RGO: Revista Gaúcha de Odontologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372023000100505&lng=en&tlng=en |
| _version_ | 1797542615491543040 |
|---|---|
| author | Kelly Bienk DIAS Anne Carolina Ferreira VITANCORT Plínio Abel Alexandre da COSTA Caroline HARTEL Thaís Becker de Almeida SARAIVA Sérgio Antônio SCHIEFFERDECKER |
| author_facet | Kelly Bienk DIAS Anne Carolina Ferreira VITANCORT Plínio Abel Alexandre da COSTA Caroline HARTEL Thaís Becker de Almeida SARAIVA Sérgio Antônio SCHIEFFERDECKER |
| author_sort | Kelly Bienk DIAS |
| collection | DOAJ |
| description | ABSTRACT Pathological mandibular fractures are fractures induced by pathologies affecting the mandible’s base or those resulting from forces that would typically be tolerable if the bone were not compromised by an underlying condition. These fractures often present complex clinical scenarios owing to the compromised bone integrity caused by the pathology, which impedes resolution. Systemic changes may also diminish the capacity for bone neoformation, significantly limiting therapeutic options. Therefore, this study aimed to provide a comprehensive review of the published scientific literature and present clinical cases related to the treatment and prevention of pathological mandibular fractures. A literature review was conducted, focusing on case reports indexed in the MEDLINE and SCIELO databases using specific keywords as descriptors. The search yielded ten articles, which described the etiopathogenesis, classified as infectious, idiopathic, benign pathology, malignant pathology, and iatrogenic. The literature suggests that prioritizing surgery to address the underlying local pathology is crucial. Managing the remaining bone defect optimally may necessitate multiple surgical interventions. Furthermore, preventive measures should be implemented in potential iatrogenic cases. Notably, fractures of malignant, idiopathic, hereditary, and metabolic etiologies may indicate the initial manifestation of diseases. |
| first_indexed | 2024-03-10T13:33:03Z |
| format | Article |
| id | doaj.art-8972c80e8fe64e6ea501166cbb439ced |
| institution | Directory Open Access Journal |
| issn | 1981-8637 |
| language | English |
| last_indexed | 2024-03-10T13:33:03Z |
| publishDate | 2023-11-01 |
| publisher | Faculdade São Leopoldo Mandic |
| record_format | Article |
| series | RGO: Revista Gaúcha de Odontologia |
| spelling | doaj.art-8972c80e8fe64e6ea501166cbb439ced2023-11-21T07:43:55ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia1981-86372023-11-017110.1590/1981-86372023006020230071Etiopathogenesis of pathological mandibular fracture: literature review and case reportsKelly Bienk DIAShttps://orcid.org/0000-0002-7792-2367Anne Carolina Ferreira VITANCORThttps://orcid.org/0009-0007-6018-463XPlínio Abel Alexandre da COSTAhttps://orcid.org/0009-0007-7690-6764Caroline HARTELhttps://orcid.org/0009-0003-1387-0128Thaís Becker de Almeida SARAIVAhttps://orcid.org/0009-0004-3568-1739Sérgio Antônio SCHIEFFERDECKERhttps://orcid.org/0009-0006-3298-4907ABSTRACT Pathological mandibular fractures are fractures induced by pathologies affecting the mandible’s base or those resulting from forces that would typically be tolerable if the bone were not compromised by an underlying condition. These fractures often present complex clinical scenarios owing to the compromised bone integrity caused by the pathology, which impedes resolution. Systemic changes may also diminish the capacity for bone neoformation, significantly limiting therapeutic options. Therefore, this study aimed to provide a comprehensive review of the published scientific literature and present clinical cases related to the treatment and prevention of pathological mandibular fractures. A literature review was conducted, focusing on case reports indexed in the MEDLINE and SCIELO databases using specific keywords as descriptors. The search yielded ten articles, which described the etiopathogenesis, classified as infectious, idiopathic, benign pathology, malignant pathology, and iatrogenic. The literature suggests that prioritizing surgery to address the underlying local pathology is crucial. Managing the remaining bone defect optimally may necessitate multiple surgical interventions. Furthermore, preventive measures should be implemented in potential iatrogenic cases. Notably, fractures of malignant, idiopathic, hereditary, and metabolic etiologies may indicate the initial manifestation of diseases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372023000100505&lng=en&tlng=enDentistryFractures, spontaneousMandibular fractures |
| spellingShingle | Kelly Bienk DIAS Anne Carolina Ferreira VITANCORT Plínio Abel Alexandre da COSTA Caroline HARTEL Thaís Becker de Almeida SARAIVA Sérgio Antônio SCHIEFFERDECKER Etiopathogenesis of pathological mandibular fracture: literature review and case reports RGO: Revista Gaúcha de Odontologia Dentistry Fractures, spontaneous Mandibular fractures |
| title | Etiopathogenesis of pathological mandibular fracture: literature review and case reports |
| title_full | Etiopathogenesis of pathological mandibular fracture: literature review and case reports |
| title_fullStr | Etiopathogenesis of pathological mandibular fracture: literature review and case reports |
| title_full_unstemmed | Etiopathogenesis of pathological mandibular fracture: literature review and case reports |
| title_short | Etiopathogenesis of pathological mandibular fracture: literature review and case reports |
| title_sort | etiopathogenesis of pathological mandibular fracture literature review and case reports |
| topic | Dentistry Fractures, spontaneous Mandibular fractures |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1981-86372023000100505&lng=en&tlng=en |
| work_keys_str_mv | AT kellybienkdias etiopathogenesisofpathologicalmandibularfractureliteraturereviewandcasereports AT annecarolinaferreiravitancort etiopathogenesisofpathologicalmandibularfractureliteraturereviewandcasereports AT plinioabelalexandredacosta etiopathogenesisofpathologicalmandibularfractureliteraturereviewandcasereports AT carolinehartel etiopathogenesisofpathologicalmandibularfractureliteraturereviewandcasereports AT thaisbeckerdealmeidasaraiva etiopathogenesisofpathologicalmandibularfractureliteraturereviewandcasereports AT sergioantonioschiefferdecker etiopathogenesisofpathologicalmandibularfractureliteraturereviewandcasereports |