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ISSN 2174-0798 (Print)
Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2017, Number 2

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Rev Odotopediatr Latinoam 2017; 7 (2)

Conservative treatment of mandibular condyle fractures in children: Case series

D´Andrea AV, Medina AC, Martínez MG, Da Silva L

Language: Spanish
References: 44
Page: 127-143
PDF size: 720.73 Kb.


ABSTRACT

Fractures of the mandibular condyle are infrequent in children, due to morphologic and other factors. Consequences may include ankylosis of the temporomandibular joint, facial asymmetry and functional disturbances. Conservative treatment is widely accepted, being that close long-term follow-up is fundamental. This report includes 11 cases of children with condylar fractures who were treated at the Interceptive Orthodontics Clinic, Universidad Central de Venezuela Dental School, between 2001 and 2014. Evaluated factors include: age, cause and type of the fracture, treatment performed and follow-up period; which were studied using clinical records: panoramic radiographs, tomograms and photographs before and after treatment. Treatment performed included analgesic, anti-inflammatory drugs, intermaxillary fixation, physiotherapy and functional appliances (hybrids, Klammt, Bionator). Prevalence was 1,50% with falls from heights and traffic accidents the most common cause. Most prevalent fractures were 5 cases of unilateral fractures and 6 cases of bilateral fractures. Conservative treatment was successful in the majority of cases. For most cases satisfactory remodeling of the condyle was attained, with some morphologic variations; no ankylosis, facial asymmetry or functional anomalies were observed after treatment.


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