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Cornelius, C.-P.; Neff, A.; Thieringer, F.; Kunz, C.; Smolka, W.; Reichert, T.; Audigé, L. und Prein, J. (2017): Unterkieferfrakturen nach AO-CMF-Trauma-Klassifikation. In: Mkg-Chirurg, Bd. 10, Nr. 2: S. 104-112

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Abstract

Background. There was a need for a systematic classification approach to fracture scenarios of the mandible based on standardized criteria. Objective. Development of consensus norms and a specified matrix to document mandibular fractures. Method. The process encompasses the development and validation of a classification proposal in terms of an iconographic design layout up to an attested model. Result. The mandible is divided into 9 topographical subregions for the location of fractures. In addition 4 transitional zones help to assign fracture lines at the junctions between the subregions. For advanced precision individual patient features, namely the pre-injury dental state and the degree of alveolar atrophy in edentulism can be recorded along with tooth injuries, periodontal trauma and fracture involvement of the alveolar process. The morphological properties, such as fragmentation, are further attributes to complete the fracture classification of the mandible. Conclusion. Based on the refined rules and regulations of this classification proposal it is easy to plot fracture patterns in the mandible and the enormous range of variability with ultimate sophistication.

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