Acta Scientific Dental Sciences

Case ReportVolume 1 Issue 5

Conservative Treatment in Condylar Fracture in Pediatric Patients: Case Study

Leandro Augusto Vicente1, Leonardo Augusto Vicente1, Leandro Moreira Tempest1,2, Idiberto José Zotarelli Filho2* and Igor Mariotto Beneti1,2

1University Center North Paulista (Unorp), São José do Rio Preto SP, Brazil
2Post Graduate and Continuing Education (Unipos), São José do Rio Preto SP, Brazil

*Corresponding Author: Idiberto José Zotarelli Filho, Professor, Unipos - Post graduate and Continuing Education, São José do Rio Preto SP, Brazil.

Received: October 16, 2017; Published: October 30, 2017

Citation: Idiberto José Zotarelli Filho., et al. “Conservative Treatment in Condylar Fracture in Pediatric Patients: Case Study”. Acta Scientific Dental Sciences 1.5 (2018).

Abstract

  The literature presents a limited number of studies that describe the specific characteristics of facial traumas in children, especially those involving condyle fractures of the mandible. This is due to the fact of the difficult diagnosis, the low incidence that occur, besides the little experience of the Bucco-Maxillofacial Surgeon and Traumatologist in front of these cases. The risk of damaging the growth center of the mandibular condyle, still under development, is high, which would lead to a delay in growth and facial asymmetry. The objective of this study was to present a clinical case report of a pediatric patient, who suffered a trauma due to a bicycle fall fractured the condyle unilaterally. The proposed treatment was the conservative only with liquid diet and physiotherapy for the oral opening. The importance of following the guidelines established by the team for a favorable prognosis, with the absence of disorders, as occurred with the establishment of ankylosis due to the abandonment of the proposed physiotherapy exercises, was discussed. The resumption of treatment, following the guidelines provided a favorable evolution of the mandibular condyle fracture. The patient is undergoing an outpatient follow-up showing maintenance of dental occlusion, mandibular movements without alterations and with correct facial symmetry.

Keywords: Fracture; Conservative Treatment; Pediatric Patient; Ankylosis

Copyright: © 2018 Idiberto José Zotarelli Filho., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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