Cronicon OPEN ACCESS EC DENTAL SCIENCE Case Report Close Reduction of the Unilateral Angle Fracture of the Mandible: A Case Report Ashek Elahi Noor 1 *, Nurul Amin 2 , Tazrin Mustari Shanta 3 and Md Asaduzzaman Mazumder 3 1 Assistant Professor, Department of Dental Public Health, Sapporo Dental College and Hospital, Dhaka, Bangladesh 2 Professor and Head Department of Oral and Maxillofacial Surgery, Sapporo Dental College and Hospital, Dhaka, Bangladesh 3 Oral and Dental Surgeon, Sapporo Dental College and Hospital, Dhaka, Bangladesh Citation: Ashek Elahi Noor., et al. “Close Reduction of the Unilateral Angle Fracture of the Mandible: A Case Report”. EC Dental Science 18.5 (2019); 1021-1026. *Corresponding Author: Ashek Elahi Noor, Assistant Professor, Department of Dental Public Health, Sapporo Dental College and Hospital, Dhaka, Bangladesh. Received: April 01, 2019; Published: April 29, 2019 Abstract The search for the ideal method of treatment for mandibular fractures has continued for thousands of years. These injuries have unique and problematic features for adequate reliable wound healing. Oral and maxillofacial surgeons must learn and master several techniques for mandibular fracture treatment. The age-old successful management of these injuries using closed reduction tech- niques always should be considered when mandibular trauma presents. The closed reduction remains a mainstay of mandibular fracture treatment especially in the angle region. An adequate knowledge of anatomy, multiple closed reduction techniques, and the physiology of fracture healing must be adequately understood and technically mastered by the oral and maxillofacial surgical team for the present and future of mandibular fracture management especially in the angle region [1]. Keywords: Mandibular Fracture; Angle Region; Trauma; Arch Bar Wiring; Close Reduction Introduction Some of the most severe injuries are caused by automobile accidents but many others result from interpersonal violence, industrial ac- cidents, sports, home accidents and missiles or gun shots. Road traffic accidents (RTA) have been reported as a leading cause of mandible fractures [2]. Being the most prominent mobile bone of the facial skeleton, Mandibular fractures are among the most common injuries to the facial skeleton, with a 6:2 proportion between mandibular and zygomatic fractures [3,4]. Majority of the mandibular fractures occur in young males [5]. In general, incidences of fractures of the mandibular body, condyle, and angle are relatively similar, while fractures of the ramus and coronoid process are rare. The literature suggests the following mean frequency percentages based on location: Body - 29%, Condyle - 26%, Angle - 25%, Symphysis - 17%, Ramus - 4%, Coronoid process - 1% the mandible is involved in 70% of patients with facial fractures. The number of mandible fractures per patient ranges from 1.5 - 1.8. Approximately 50% of patients with a mandible fracture have more than 1 fracture. Angle fractures occur in a triangular region between the anterior border of the masseter and the posterosu- perior insertion of the masseter. These fractures are distal to the third molar. Usually an angle fracture on one side is accompanied by a contralateral condylar or parasymphyseal fracture. This article describe the effectiveness of arch bar wiring in the treatment of unilateral angle fracture of the mandible as a close reduc- tion approach.