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5. • FAVORABLE FRACTURE :
When the muscle pull resists the
displacement of fractured fragments
then the fracture line is considered
favorable.
• UNFAVORABLE FRACTURE:
When the muscle pull distracts the
fragments away from eachother,resul
ting in displacement then it is called
unfavorable.
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7. • Fractures at ANGLE of mandible are
influenced by
MEDIAL PTERYGOID—MASSETER
sling of which medial pterygoid is the
stronger component.
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8. Horizontally
favorable/unfavorable
• Radiographs:
Lateral Oblique, OPG.
When the fracture line passes from
the alveolar margin, downward and
Forward,then upward displacement of
Posterior segment is prevented by physical
Obstruction caused by body of mandible.
“ HORIZONTALLY FAVORABLE # “
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9. • If the fracture line passes downward
nd backward,then the upward displacement of the posterior segment is
unopposed which is
“HORIZONTALLY UNFAVORABLE”
Sometimes the upward displacement
can be prevented by the presence of
a tooth on the posterior segment which
comes into contact with maxillary tooth.
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12. VERTICALLY
FAVORABLE / UNFAVORABLE
• Radiographs:
Occlusal view.
Angle fracture is viewed from the
occlusal surface(vertical plane),
then the buccolingual direction
of the fracture can be studied.
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13. VERTICALLY FAVORABLE
• Here the fracture line passes from
the outer or buccal plate obliquely
backward nd lingually,will tend to
resist the muscle pull .
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23. Fixation / Immobilization
•
•
•
•
Maxillomandibular fixation
Transosseous wiring
Lag Screw osteosynthesis
Plating (noncompression)
plating done to the superior border
i.e ext.oblique ridge in most cases
bases on CHAMPY’S principle of ideal
osteosynthesis lines.
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