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An uncommon cause for a common fracture - Commentary

A. L. Gopinath, M. A. Reyazulla, Abhishek Bhattacharjee, Abhishek Khatua


Aim: Mandibular angle fracture is one of the common fractures which a maxillofacial surgeon faces, which has a variable etiology. The aim of this commentary is to present a rare case of a mandibular angle fracture caused by heavy bite force and amplified by the wedging action of impacted mandibular third molar in a 29-year-old male patient. This is a first case report in the literature as per our knowledge, where a strong bite force caused a mandibular angle fracture, during heavy weight lifting in the gymnasium. Conclusion: The consequent fracture was reduced with an open reduction and internal fixation under local anaesthesia. An unusual case of a mandibular angle fracture with a very uncommon etiology of heavy bite force has been presented here with its management. Clinical Significance: This commentary discusses the relationship between the normal bite force, force required to fracture the mandible, and how a fracture of this kind can affect a person involved in non-contact sports.


Angle fracture; bite force; impacted third molar; non-contact force; prophylactic mouth guard

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