Influence of third molars in mandibular fractures. Part 1: mandibular angle — a meta-analysis

dc.creatorAnna Catharina Vieira Armond
dc.creatorCarolina de Castro Martins
dc.creatorJosé Cristiano Ramos Glória
dc.creatorEndi Lanza Galvão
dc.creatorCássio Roberto Rocha dos Santos
dc.creatorSaulo Gabriel Moreira Falci
dc.date.accessioned2024-01-26T19:50:16Z
dc.date.accessioned2025-09-09T00:22:04Z
dc.date.available2024-01-26T19:50:16Z
dc.date.issued2017-06
dc.identifier.doihttps://doi.org/10.1016/j.ijom.2017.02.1264
dc.identifier.issn1399-0020
dc.identifier.urihttps://hdl.handle.net/1843/63435
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgery
dc.rightsAcesso Restrito
dc.subjectMolar, third
dc.subjectMandibular fractures
dc.subjectSurgery, oral
dc.subject.otherThird molar
dc.subject.otherMandible fractures
dc.subject.otherOral surgery
dc.titleInfluence of third molars in mandibular fractures. Part 1: mandibular angle — a meta-analysis
dc.typeArtigo de periódico
local.citation.epage729
local.citation.issue6
local.citation.spage716
local.citation.volume46
local.description.resumoThe aim of this systematic review was to investigate the influence of the presence and position of mandibular third molars on angle fractures. An electronic search was conducted in the PubMed, Scopus, Web of Science, Cochrane Library, and VHL databases, through January 2016. The eligibility criteria included observational studies. The search strategy resulted in 704 articles. Following the selection process, 35 studies were included in the systematic review and 28 in the meta-analysis. Twenty studies presented a score of ≤6 stars in the Newcastle–Ottawa scale assessment, indicating a risk of bias in the analysis. The presence of a mandibular third molar increases the chance of an angle fracture (case–control and cross-sectional studies: odds ratio (OR) 3.83, 95% confidence interval (CI) 3.02–4.85, I2 = 83.1%; case–control studies: OR 3.27, 95% CI 2.57–4.16, I2 = 81.3%). The third molar positions most favourable to angle fracture according to the Pell and Gregory classification are class B (OR 1.44, 95% CI 1.06–1.96, I2 = 87.2%) and class II (OR 1.67, 95% CI 1.36–2.04, I2 = 72.4%). Class A (OR 0.60, 95% CI 0.45–0.81, I2 = 87.1%) and class I (OR 0.51, 95% CI 0.37–0.71, I2 = 89.4%) act as protective factors for angle fracture. The results suggest that the presence of the third molar increases the chance of angle fracture by 3.27 times and that the most favourable positions of the third molar for angle fracture are classes B and II, whilst classes A and I act as protective factors.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0901502717313292

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