PMC10400297_01
Pre-extraction panoramic radiograph showing tooth #48 characterized by separate roots, distoangulation, and semi-impaction (red circle).
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The previous radiographic analysis revealed the presence of a distoangulated mandibular third molar and B2 position according to Pell and Gregory classification (Figure 1).
(a) Axial cuts showing right mandibular body fracture. Three-dimensional reconstruction of CT scan showing fracture of the right mandible: (b) lateral view and (c) upper view.
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A computed tomography (CT) scan and the 3D reconstruction showed a breach in the continuity of bone through the socket and laterally displaced condylar (distal) fragment related to the mandibular segment in the right-angle site, respectively (Figures 2(a), 2(b), and 2(c)).
(a) Intraoral approach for fracture reduction. (b) Installation of titanium miniplates for stabilization of bone segments.
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The surgeons performed an intraoral open reduction, repositioned the segments, and employed two titanium plates and six-millimeter screws to prevent fragment mobility and ensure primary bone healing (Figures 3(a) and 3(b)).
Follow-up panoramic radiograph eight days after the surgery showing reduction and fixation of the fracture (red arrow).
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The surgical procedure and postoperative recovery were uneventful (Figure 4).