ISSN : 2663-2187

ORIF versus Prosthetic Rehabilitation --The Treatment Dilemma in a Malunited Condylar Fracture with occlusal discrepancy

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Dr. Charu Girotra, Dr. Aishwarya Nair, Dr. Varun Irani, Dr. Parag Jain
» doi: 10.33472/AFJBS.6.5.2024. 7748-7754

Abstract

Aim – To evaluate the complications of Conservative management of Unilateral Mandibular condylar fractures leading to malunion & to weigh in the advantages of ORIF over Prosthetic Rehabilitation Material Methods - A 37-year-old female presented with a malunited unilateral condylar fracture treated via closed reduction which resulted in significant reduction in mouth opening and difficulty in mastication due to deranged occlusion. Secondary treatment was done via surgical intervention using Reosteotomization of the malunited segment through the fracture line to attain anatomical reduction and Reestablishing vertical height of the ramus. Postoperatively, the patient was placed on a guided rehabilitation program to optimize functional outcomes and further prosthetic rehabilitation is planned. Conclusion -This case report highlights the importance of recognizing and addressing malunited fractures of the mandibular condyle. Timely intervention and appropriate surgical management can result in significant improvement in pain, functional range of motion, and aesthetic satisfaction for patients suffering from malunited condylar fractures. By sharing this case, we aim to contribute to the growing body of literature on the optimal management of mandibular condyle fractures and promote better outcomes and quality of life for affected individuals.

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