Mandibular Fracture Severity Score

Parameters used for score:

(1) preoperative

(1a) anatomic location

(1b) amount of displacement

(1c) complex fractures

(1d) systemic factors

(2) intraoperative

(2a) difficult positioning and reduction

(2b) undefined occlusion

(2c) difficult soft tissue coverage

Systemic factors:

(1) history of seizure disorders

(2) psychiatric diagnoses

(3) abnormal calcium metabolism

(4) poor oral hygiene

(5) immunodeficiency

(6) severe malnutrition

(7) significant metabolic or endocrine abnormality

mandibular fracture score =

= SUM(points for the 7 parameters)

Multiple fractures:

(1)  Each fracture is scored individually.

(2) My assumption in the implementation is that the points for systemic factors is added to each score.

(3) Each of these scores is then added together to give a cumulative score.

Interpretation:

• minimal score for a single fracture: 0

• maximum score for a single fracture: 15

• The higher the score, the more severe the fracture.

Complications seen after fracture:

(1) malocclusion

(2) infection

(3) disturbed wound healing

(4) fifth nerve dysfunction

(5) temporomandibular joint complications

From Figure 3, the estimated rate of complications: