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That fracture of the lower jaw has been a nightmare to the surgeon is shown by the fact that many surgeons, as a matter of routine, refer this type of fracture to the dentist. The latter succeeds in obtaining fair results in complicated fractures, but these results can be achieved only after great trouble to the dentist and infinite annoyance to the patient.
Simple fractures of the lower jaw, more particularly in the median line, are comparatively easily treated but oblique fractures in any part of the mandible, especially at the angle, as well as bilateral fractures, are associated with great difficulty in maintaining approximation of the fragments so that the articulation is satisfactorily restored.
As far as my experience goes, pseudo-arthrosis of the jaw which has been wired or plated is rare, and it would appear from a review of the literature, as well as personal inquiry, that the
Levison CG. A SUGGESTION FOR THE TREATMENT OF FRACTURES OF THE LOWER JAW. JAMA. 1916;LXVI(14):1023. doi:10.1001/jama.1916.25810400002015b