Conservative interdisciplinary treatment of a case with multiple facial and condyle fractures.
The purpose of this case report is to describe an interdisciplinary approach for a 51-year-old male who underwent multiple facial fractures including bilateral condyle fractures. The patient underwent emergency surgery, which included open reduction of the maxilla and mandibular symphysis and closed reduction of the bilateral condyle fractures. Although the patient recovered a comfortable range of mouth opening and alleviation of the temporomandibular joint (TMJ) symptoms after surgery, he suffered from a large anterior-posterior discrepancy due to less stability on the condyle-fossa relationships and from open bite with contacts only on both second molars and right second premolars. In this case, first, to increase the occlusal contact, comprehensive orthodontic treatment was completed. Second, occlusal equilibration was selectively performed to relieve the interferences and establish a stable range of mandibular movement without any changes in the vertical dimension. Third, both the upper central incisors and left lateral incisor were minimally restored with splinted and single zirconia crowns, which had modified lingual contours to provide adequate anterior guidance permitting the anterior-posterior discrepancy of the posterior teeth during protrusion. This conservative interdisciplinary treatment, including open and closed reduction, orthodontic treatment, occlusal adjustment, and minimal prosthetic restorations, resulted in a stable mandibular position and recovery of mastication function.
Department of Orthodontics, Seoul National University Bundang Hospital, Seongnam, South Korea.
You-Sun
YS
Lee
Department of Prosthodontics, Seoul National University Bundang Hospital, Seongnam, South Korea.
Yang-Jin
YJ
Yi
Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea.|Department of Dentistry & Dental Research Institute, School of Dentistry, Seoul National University, Seoul, South Korea.
Young-Kyun
YK
Kim
Department of Orthodontics, Seoul National University Bundang Hospital, Seongnam, South Korea.
Nam-Ki
NK
Lee
Division of Orthodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.
Brent E
BE
Larson
D003131:Combined Modality Therapy; D000072700:Conservative Treatment; D017267:Dental Prosthesis Design; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000628:therapy*; D008875:Middle Aged; D019558:Occlusal Adjustment; D009971:Orthodontics, Corrective / Q000379:methods*; D012887:Skull Fractures / Q000628:therapy*
bilateral condyle fractures; conservative interdisciplinary treatment; multiple facial fractures