« Prev |
2018 Apr-Jun; Vol 9, No 2:e5 |
Next » |
e5 |
Non-surgical Treatment of Condylar Fracture in an 11-Year-Old Patient: a Case Report J Oral Maxillofac Res 2018;9(2):e5 doi:10.5037/jomr.2018.9205 Abstract | HTML | PDF | XML |
Non-surgical Treatment of Condylar Fracture in an 11-Year-Old Patient: a Case Report
1Department of Surgical Sciences, Faculty of Medicine, School of Dentistry, University of Bari, Bari, Italy.
2Department of Clinical and Experimental Medicine, Faculty of Medicine, School of Dentistry, University of Foggia, Foggia, Italy.
Corresponding Author:
Via Rovelli 50, 71122, Foggia
Italy
Phone: +39 0881 588080
Fax: +39 0881 588081
E-mail: graziano.montaruli@unifg.it
ABSTRACT
Background: Mandibular condylar fractures commonly occur after trauma and account for 25 to 35% of all mandibular fractures; its appropriate therapy still remains a point of controversy in children. The purpose of this paper is to describe the treatment of an 11-years-old male patient affected by neck-condylar fracture as result of trauma in evolutive age.
Methods: No surgical treatment was performed. A functional therapy was applied with a jaw splint. A closed treatment for mandibular condyle fractures was preferred because the amount of condylar displacement wasn’t considerable.
Results: The early treatment with functional therapy generated a functional adaptation of the condyle in the glenoid fossa and a normal mandibular function. After a 12-month follow-up the fracture resolution and an optimal condylar position were recorded.
Conclusions: The current case report and literature review showed that non-surgical therapy of neck-condylar fracture in a child with lower resin splint can restore mandibular movements and aesthetics. Facial growth after one year treatment resulted normal. A conservative treatment may be appropriate for children in selected cases with minimally displaced condyle.
J Oral Maxillofac Res 2018;9(2):e5
doi: 10.5037/jomr.2018.9205
Accepted for publication: 18 June 2018
Keywords: jaw fractures; mandibular fractures; traumatic dental occlusion.
To cite this article: Non-surgical Treatment of Condylar Fracture in an 11-Year-Old Patient: a Case Report J Oral Maxillofac Res 2018;9(2):e5 URL: http://www.ejomr.org/JOMR/archives/2018/2/e5/v9n2e5ht.htm |
Received: 18 April 2018 | Accepted: 18 June 2018 | Published: 29 June 2018
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2018.