Fracture of a mandible during extraction is a rare complication it is associated almost exclusivly with the surgical removal of impacted third moral a mandibular fracture is usually the result of the application of a force exceeding that needed the remove a tooth and often occurs duriong the use of dental elevators . however when lower third moral are deeply impacted even small amount of force may cause a fracture . Fracture may also occur during removal of impacted  teeth from a servely atrophic mandible. should such a fracture occure it must me treted by the usual method used for a jaw fracture must be adequatly reduced and stablized with intermaxillary fixation usual  this mean this mean that the patient should be referred to and oral and maxillofacial surgeon for definitive care.

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