Management of Mandibular Angle Fracture via Intraoral Approach: A Case Report

OBJECTIVE: Mandibular angle fractures are among the most common types of traumatic jaw injuries.

This region is prone to fracture due to the presence of the third molar, the bone structure, and the

direction of muscle traction. Currently, intraoral approaches are widely preferred because of their esthetic

advantages and low complication rates.

CASE PRESENTATION: A 45-year-old male patient presented with pain and limited mouth opening in

the left mandibular region. Clinical and radiographic examinations revealed a left mandibular angle

fracture. The surgery was performed under local anesthesia using an intraoral approach. After accessing

the surgical field, the tooth numbered 38, located along the fracture line, was extracted. The bone

segments were reduced with proper occlusion, and rigid fixation was achieved using a titanium miniplate

and screws. In the postoperative period, stable occlusion was observed without any signs of infection or

paresthesia.

RESULT: The intraoral approach is a safe and effective technique for the treatment of mandibular angle

fractures, as it avoids extraoral scarring and presents a low morbidity rate. In cases where the third molar

lies along the fracture line, extraction of the tooth contributes to achieving proper reduction and stable

fixation. In this case, successful reduction and uneventful healing were obtained through the intraoral

approach.