Functional and Occlusal Discrepancy in Mandibular Condyle Fractures Treated with Closed Reduction and Immobilization
DOI:
https://doi.org/10.52206/jsmc.2024.14.3.871Abstract
Background: Condylar fractures, a common type of mandibular fractures, require meticulous consideration in selecting the appropriate treatment approach. Among the available choices, conservative management has proven to be a valuable strategy for
specific cases.
Objective: To ascertain the frequency of postoperative functional and occlusal discrepancies in condylar fracture patients managed conservatively.
Materials and Methods: This descriptive cross-sectional study involved 183 patients, in accordance with our designated sample size. Diagnosis of condylar fractures was confirmed through radiographs, including orthopantomograms and posterior-anterior views. Reduction and immobilization were performed using eyelet loop wiring for 3 to 4 weeks. Clinical assessment of malocclusion and mouth opening was conducted post-immobilization, with mouth opening measured as interincisal distance using a ruler. Chi-square tests were conducted to assess the association of mouth opening and malocclusion with age, gender, and fracture type.
Results: The mean age was 44 years ± 10.37, and the average mouth opening measured 35 ± 2.12 mm. Gender-wise, 38 (20.76%) patients were identified as female, while 145 (79.23%) were male. Regarding the type of condylar fracture, 148 (80.87%) patients had unilateral fractures, and 35 (19.12%) exhibited bilateral fractures. No significant associations were observed between mouth opening and malocclusion with age, gender, or fracture type.
Conclusion: Conservative management through closed reduction and immobilization for unilateral and bilateral condylar head fractures yields superior functional and radiographic outcomes.
Keywords: Bilateral condylar fractures, Malocclusion, Unilateral condylar fractures.
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