“Non-surgical treatment of bilateral condyle fractures”

Abstract

Mandibular fractures are extremely frequent in facial traumas, and 19-52% involve the condyles. Choosing between open and non-surgical (conservative) treatment of condyle fracture is being discussed till now. The absolute indications for open treatment of condylar fractures are in bilateral fractures’ cases.
We present the clinical outcome of the treatment of a patient after an injury resulting from a fall from a bicycle. A peculiarities of the clinical situation: non-growing patient, orthodontic treatment with the of four premolars extraction in history, TMJ dysfunction on the right side. A bilateral fracture of the condylar processes was accompanied by trauma of soft tissues, several teeth, and a fracture of the alveolar process of the upper jaw.
Treatment included initial functional analysis, replacement of emergency splint with bracket system, healing time, 3rd molars extraction, orthodontic treatment by the MEAW technic and finalization with molars anatomy reconstruction.
The Prof. Slavicek’s and Prof. Sato’s treatment approach shows a good long-term result in the case of non-growing patient with both sides condyle fractures.
The purpose of my presentation is to illustrate the full sequence and the result of the VieSID’s concept using.

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