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Volume 1, Issue 1 Journal of General Dentistry Euro Dental Market 2017
December 07-08, 2017
DENTAL MARKETING
December 07-08, 2017 | Madrid, Spain
27th Global Summit and Expo on
Comparative study between intermaxillary fixation (IMF) and pure conservation in management of
condylar head fracture in children
Hamada Mahran
Faculty of Dentistry Alexandria, Egypt
Background: The purpose of the present study was to compare intermaxillary fixation (IMF) and pure conservation in the
management of condylar head fracture in children treated at the Department of Maxillofacial Surgery, Faculty of Medicine, Assiut
University, Egypt, from 2011-2016.
Methods: 24 patients with condylar head fractures were included in this study; 10 males and 14 females in between the ages ranging
from 5-15 years. They were divided into two equal groups Patients in group 1, were treated by closed reduction for 2-3 weeks followed
by physiotherapy, while group 2 patients were managed by pure conservation only for the same period. Outcome results on clinical
and radiological parameters were evaluated during the follow up period.
Results: In group 1, the maximum mouth opening after 2 months ranged from 28-36 mm (average 32 mm), while development of
ankylosis were reported in 3 patients. In group 2, the maximum interincisal opening ranged from 28-37 mm (average 32.5 mm) with
absence of ankylosis. Pain in temporomandibular joint (TMJ) was noted in 3 cases of bilateral condylar head fractures of this group,
but subsided gradually during the follow up.
Conclusions: This study concluded that treatment of patients by closed reduction gives satisfactory clinical results, though the condyle
is not anatomically normal in radiographs, whereas management of patients by pure conservation without any surgical intervention
showed excellent results clinically as well as radiographically. Perhaps a study conducted on larger number of patients with longer
post operative follow up will throw more light on this subject.
Journal of General Dentistry 2017, 1:1