title: Conservative orthodontic treatment of mandibular bilateral condyle fracture.
abstract: Maxillofacial trauma is rare in children younger than the age of 5 years (range 0.6%-1.2%), and they can require different clinical treatment strategies compared with fractures in the adult population because of concerns regarding mandibular growth and development of dentition. A 5-year-old girl with a history of falling from a bicycle 7 hours earlier was referred to the department of oral and maxillofacial surgery. Multislice computed tomographic examination demonstrated a bilateral fracture of the mandibular condyle neck associated with minimal fracture of the alveolar ridge of the maxilla. The multislice computed tomographic scan also demonstrated dislocation on the right condyle neck and, on the left side, a medial inclination of approximately 45 degrees associated with greenstick fracture of the right parasymphysis region. In this particular case, orthodontic rubber elastics in combination with fixed orthodontic brackets provided good results in the treatment of bilateral condyle neck fractures associated with greenstick fracture of parasymphysis.
authors.affiliation: From the *Dental Polyclinic; Departments of †Oral Surgery, and ‡Prosthodontics, School of Medicine, Study of Dental Medicine, University of Split, Split, Croatia.
authors.forename: Goran
authors.initials: G
authors.lastname: Gašpar
authors.forename: Ivan
authors.initials: I
authors.lastname: Brakus
authors.forename: Ivan
authors.initials: I
authors.lastname: Kovačić
mesh_terms: D000539:Alveolar Process / Q000293:injuries; D001642:Bicycling / Q000293:injuries; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019248:Jaw Fixation Techniques / Q000295:instrumentation*; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000628:therapy*; D008335:Mandibular Condyle / Q000000981:diagnostic imaging / Q000293:injuries*; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D008440:Maxillary Fractures / Q000000981:diagnostic imaging; D061330:Multidetector Computed Tomography; D009967:Orthodontic Appliances; D016910:Orthodontic Brackets