Abstract
The prevalence of CF in children is low and treatment must focus on possible long-term effects on the growing facial skeleton and soft tissues. Conservative treatment, including close observation, soft diet, physiotherapy, and functional appliances, are advised in most cases. The immense capacity for healing in children within the shortest possible time showing minimum complications, and the inherent ability to adapt to new situations are quite different from what we seen in adults.
This article aims to review the preferable options for the management of mandibular condylar fracture in children and to discuss a case report where satisfactory remodelling of condyle occurred and normal occlusion and jaw movements were obtained.
Key words: Condylar fracture; Conservative treatment; TMJ ankylosis; Condylar remodelling.
References
- Kumar D, Trehan M, Vashistha A, Chugh A, Nigam AG, Trehan M, et al. Pediatric Mandibular Fractures: A Review. International Journal of Clinical Pediatric Dentistry. 2009 Aug;2(2):1–5.
- Posnick JC, Goldstein JA. Surgical Management of Temporomandibular Joint Ankylosis in the Pediatric Population: Plastic and Reconstructive Surgery. 1993 Apr;91(Supplement):791–8.
- Cassi D, Magnifico M, Di Blasio C, Gandolfini M, Di Blasio A. Functional Treatment of a Child with Extracapsular Mandibular Fracture. Case Reports in Dentistry. 2017;2017:1–5.
- Hovinga J, Boering G, Stegenga B. Long-term results of nonsurg cal management of condylar fractures in children. :12.
- (PDF) Long-Term Outcomes After Treatment of Condylar Fracture by Intraoral Access: A Functional and Radiologic Assessment [Internet]. [
- Goth S, Sawatari Y, Peleg M. Management of pediatric mandible fractures. J Craniofac Surg. 2012; 23:47–56.
- Kaban LB, Mulliken JB, Murray JE. Facial fractures in children: An analysis of 122 fractures in 109 patients. Plast Reconstr Surg 1977 Jan;59(1):15-20.
- Güven O, Keskin Remodelling following condylar fractures in children. Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 2001 Sep 1;29:232–7.
- Sharma S, Vashistha A, Chugh A, Kumar D, Bihani U, Trehan M, et al. Pediatric Mandibular Fractures: A Review. Int J Clin Pediatr Dent. 2009;2(2):1–5.
- BLACKWOOD, J. H. (1961). Temporomandibular Joint Symposium,C.S., London.
- Di Blasio C., Di Blasio A., Pedrazzi G., Anghinoni M., Sesenna E. How does the mandible grow after early high condylectomy? The Journal of Craniofacial Surgery. 2015;26(3):764–771. doi: 10.1097/scs.0000000000001515. [PubMed] [CrossRef] [Google Scholar].
- Bayat M, Parvin M, Meybodi AA. Mandibular Subcondylar Fractures: A Review on Treatment Strategies. Electron Physician. 2016 Oct 25;8(10):3144–9.
- Medina A. Functional Appliance Treatment for Bilateral Condylar Fracture in a Pediatric Patient. Pediatric dentistry. 2009 Sep 1;31:432–7.
- Thoren H, Iizuka T, Hallikainen D, Nurminen M, Lindqvist C. An epidemiological study of patterns of condylar fractures in children. Br J Oral Maxillofac Surg. 1997 Oct;35(5):306–311.
- Lund K. Mandibular growth and remodeling processes after condylar fracture: A longitudinal roentgencephalometric study. Acta odontol Scand Suppl. 1974;32(64):3–117.
Corresponding Author
Bibina C P
Junior resident, Dept. of Pediatric and Preventive Dentistry, Government Dental College, Thiruvananthapuram, Kerala, India
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.07
