Early treatment of angle Class II, division 2 in combination with functional therapy of TMJ fracture.
Children who have sustained condylar fractures are treated with functional appliances because surgical repositioning of the condyle is more resource-intensive without producing better results. In cases with additional malocclusions it is practicable to combine the functional therapy of the fracture with skeletal Class II therapy. A 10-year-old boy suffering from a left condylar fracture and showing Class II, Division 2 malocclusion was treated with a skeletal functional appliance in combination with a utility arch for uprighting of the incisors. A modified transpalatal bar was then used to retain the incisor position. The remodeling process of the mandibular condyle following its fracture with dislocation signifies a high adaptability of the affected tissues. This reaction can be used simultaneously for effective sagittal repositioning of the mandible in certain cases of Class II malocclusion.
Luck
O
O
Department of Orthodontics, Technical University of Dresden, Germany. luck@rcs.urz.tu-dresden.de
Harzer
W
W
D001265:Athletic Injuries; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008312:Malocclusion, Angle Class II / Q000150:complications* / Q000628:therapy*; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000150:complications* / Q000628:therapy*; D019647:Oral Surgical Procedures; D017289:Orthodontic Appliances, Functional; D013997:Time Factors