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Case Report

Non-Surgical Management of Bilateral Condylar Fracture with Application of Bite-Raising Appliance

Stephanus Christianto, Endang Sjamsudin, Winarno Priyanto.

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Fractures of condylar process of mandible are common fractured encountered in mandible bone. Although the treatment options of condylar fractures is still debatable. Majority of surgeons seem to favor nonsurgical treatment of condylar fracture because of its minor post-operative complications. However, nonsurgical treatment may still yield serious complications like post-traumatic malocclusion. Herein, we present the case of 19 years old male presented with post-traumatic malocclusion due to fractures of bilateral condylar process and symphysis mandible that treated with combination of open reduction and internal fixation for symphysis mandible fracture and closed reduction with application of bite raising appliance and intermaxillary fixation for bilateral condylar process fracture. No symptomatology within one month of the follow-up period. The outcomes of this protocol therapy are effective and satisfying in treating the post-traumatic malocclusion in bilateral condylar and symphysis mandible fractures.

Key words: Conservative management, Non-surgical, Mandibular condyles, Mandibular fracture, Bite-raising appliance

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