The Journal of craniofacial surgery · 2012
Conservative treatment of unilateral displaced condylar fractures in children with mixed dentition.
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Boffano Paolo, Roccia Fabio, Schellino Eleonora, Baietto Federico, Gallesio Cesare, Berrone Sid
Аннотация
PURPOSE: The aim of the study was to present the outcomes of the conservative treatment of unilateral displaced condylar fractures in a series of children with mixed dentition.
METHODS: The treatment protocol of our study population included the placement of fixed orthodontic appliances, the preparation of a maxillary acrylic splint, and functional exercises. Six and 12 months after trauma, patients underwent clinical temporomandibular joint dysfunction and mandibular motion assessments and a panoramic radiography.
RESULTS: Fourteen children with a mean age of 7.2 years were included in the study. At 1 year follow-up, complete clinical and functional recovery was observed in all patients. A complete healing process leading to a normal condylar process was observed in almost all patients.
CONCLUSIONS: Conservative treatment of displaced condylar fractures in children, using a progressively remodeled splint, showed satisfactory functional outcomes at 12 months of follow-up.
METHODS: The treatment protocol of our study population included the placement of fixed orthodontic appliances, the preparation of a maxillary acrylic splint, and functional exercises. Six and 12 months after trauma, patients underwent clinical temporomandibular joint dysfunction and mandibular motion assessments and a panoramic radiography.
RESULTS: Fourteen children with a mean age of 7.2 years were included in the study. At 1 year follow-up, complete clinical and functional recovery was observed in all patients. A complete healing process leading to a normal condylar process was observed in almost all patients.
CONCLUSIONS: Conservative treatment of displaced condylar fractures in children, using a progressively remodeled splint, showed satisfactory functional outcomes at 12 months of follow-up.