Restorative Dentistry & Endodontics  2012;37(2):110-113

doi:10.5395/rde.2012.37.2.110

Re-establishment of occlusion after unilateral condylar fracture.

Yookyung KIM 1 ; Sung Ho PARK ; Byoung Duck ROH

Affiliations

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Keywords

Condylar fracture; Delayed reduction; Dental injury; Occlusion; Physical training

Country

Republic of Korea

Language

Korean

Abstract

Complications resulting from condylar fracture include occlusal disturbance due to loss of leverage from temporomandibular joint (TMJ). In general, closed reduction with active physical training has been performed, and under favorable circumstances, adaptation occurs in attempt to restore the articulation. The patient in this case report had unilateral condylar fracture accompanied with multiple teeth injuries, but he was left without any dental treatment for 1 mon which led to unrestorable occlusal collapse. Fortunately, delayed surgical repositioning of dislocated maxillary anterior teeth followed by consistent long-term physical training has been proved successful. Normal occlusion and satisfactory remodeling of condyle were obtained on 10 mon follow-up.