21Feb 2017

EVALUATION OF POST-OPERATIVE BITE FORCE IN MANDIBLE FRACTURES TREATED WITH OPEN AND CLOSED REDUCTION

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Background: Mandible fractures lead to loss of masticatory function and therapeutic goal of any fracture management is to restore original anatomic form and function. For this, maximal bite force could be considered as a major factor for evaluating the success of treatment. The objective was to measure the bite force post-operatively in patients with mandible fractures treated with open reduction and internal fixation and close reduction and compared with normal healthy group. Methodology: Normal bite force of control group was calculated bilaterally and compared with patients with mandible fractures treated with open and closed reduction in the region of incisors and molars at 5th,7th and 12th week post-operatively using a customised Gnathodyanamometre . Results: Post-operative bite force in incisor region is significantly reduced (1.86kg) for the first 5-6 weeks and gradually increases (5.42kg) later while in molars, it gradually increases(5.67kg) from 5 weeks and significantly increases after 7 weeks and reaches its maximum range(25.14kg) in a span of 12 weeks. Conclusion: Both modes of treatment are equally popular among the surgeons, having different indications. As seen in the study after three months open reduction and internal fixation shows significantly better results than the closed reduction


  1. Pellizer Ep, Muench A. For?as De Mordida Relacionadas A Pr?teses Remov?veis Inferiores [Tese]. S?o Paulo (Sp): Faculdade De Odontologia De S?o Paulo, Universidade De S?o Paulo; 1997.
  2. Paula Lv. Estudo Longitudinal Da For?a De Mordida De Indiv?duos Dentados E Edentados Reabilitados Com Pr?teses Convencionais E Implanto-Suportadas [Tese]. S?o Paulo (Sp): Faculdade De Odontologia De S?o Paulo, Universidade De S?o Paulo; 1998
  3. Bakke M, "Bite Force And Occlusion", Seminars In Orthdontics, 2006;12:120-26
  4. Ingervall B, Helkimo E. Masticatory Muscle Force And Facial Morphology In Man. Archives Of Oral Biology. 1978; 23: 203?206
  5. Sonnesen L, Bakke M, And Solow B. Temporomandibular Disorders In Relation To Craniofacial Dimensions, Head Posture And Bite Force In Children Selected For Orthodontic Treatment. European Journal Of Orthodontics. 2001; 23: 179 - 192.
  6. Sonnesen L, Bakke M. Bite Force In Children With Unilateral Crossbite Before And After Orthodontic Treatment. A Prospective Longitudinal Study. European Journal Of Orthodontics. 2007; 29:310-313
  7. Eberhard Kruger & Schilli: Oral & Maxillofacial Traumatology, Volume 1,2
  8. Sequin P Et Al: Development Of Treatments And Results Of Mandibular Fractures From 1950 T0 1978 At The University Centre Hospital In Lyon. Riv Stomatol Chir Maxillofac.1989;909(5):301-4
  9. A Study Of Bite Force, Part 1: Relationship To Various Physical Characterstics, Stanley et al, The Angle Orthodontist, Vol. 65 No. 5 1995
  10. Estimation of Individual Bite Force during Normal Occlusion using FEA, Dattatreya Parle in 2013 ALTAIR TECHNOLOGY SYSTEM, INFOSYS.
  11. Bite Force Measurement In Mandibular Parasymphyseal Fractures: A Preliminary Clinical Study, Rajesh Kshirsagar Et Al , Craniomaxillofac Trauma Reconstr. 2011 December; 4(4): 241?244.
  12. Bite Forces In Patients After Treatment Of Mandibular Angle Fractures With Miniplate Osteosynthesis According To Champy, Gerlach K L Et Al, Journal Of Oral And Maxillofacial Surgery,Volume 58, Issue 5, Pages?515?524, May 2000.

[Kuldeep Pal, Sushmitha R, G.V. Mitra, Tejas Motivale and Swati Tiwari. (2017); EVALUATION OF POST-OPERATIVE BITE FORCE IN MANDIBLE FRACTURES TREATED WITH OPEN AND CLOSED REDUCTION Int. J. of Adv. Res. 5 (Feb). 1002-1008] (ISSN 2320-5407). www.journalijar.com


DR. KULDEEP PAL


DOI:


Article DOI: 10.21474/IJAR01/3245      
DOI URL: http://dx.doi.org/10.21474/IJAR01/3245