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Brisement force in fibrous ankylosis: A technique revisited
Udupikrishna M Joshi1, Satishkumar G Patil1, Kundan Shah1
1Department of Oral and Maxillofacial Surgery, HKES, S. N. Dental College and Research, Gulbarga, Karnataka, India.
Abstract:
Fibrous ankylosis is a common complication of trauma to the temporomandibular joint (TMJ) in children. Proper treatment and regular follow-up is necessary for its successful management. This report highlights a case of posttraumatic fibrous ankylosis successfully managed with brisement force-gradual tractional forces applied to the TMJ under local anesthesia without any associated complications. Mouth opening increased significantly from 15 to 35 mm. The patient was advised to perform rigorous physiotherapy at home, to maintain interincisal opening of 35 mm. The case was followed up for 6 months with no decrease in mouth opening.
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