PATTERN AND PRESENTATION OF MANDIBULAR FRACTURES IN DOW INTERNATIONAL DENTAL COLLEGE: FIVE YEAR REVIEW.
Keywords:Fracture, Karachi, Pakistan, Mandible, Maxillofacial
Introduction: Maxillofacial trauma is a regularly reported occurrence in the
emergency room. Of all maxillofacial injuries worldwide, the mandible is the most commonly
involved facial bone, with etiologies ranging from assaults and interpersonal violence to RTAs.
Objectives: We aim to identify the patterns of incidence, etiology, age groups, anatomical
location and gender in mandibular fractures in the population of Karachi, Pakistan. Study
Design: Observational cross sectional study. Setting: Dow International Dental College. Period:
January 2012 – September 2017. Materials and Methods: Informed consent was obtained
along with a comprehensive history; a systematic clinical examination was supplemented by
radiographs of the face as required to confirm the presence of fractures. Statistical analysis was
done using SPSS v.21. Results: Over 5 years, an overall 156 patients sustained 250 fractures of
the mandible. Most affected gender was male, the age group was 20-30 years, most common
cause was Road Traffic Accidents and site was the parasymphysis. Conclusion: Mandibular
fractures have a higher incidence in young males driving motorbikes or cars. More rigorous
legislative action and community awareness is required to lessen the rate of mandibular
fractures in Karachi, Pakistan.