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Systematic Assessment of Mammalian Skull Specimens for Dental and Temporomandibular Joint Pathology
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Trauma to the Pediatric Temporomandibular Joint
1Department of Surgery, Section of Oral and Maxillofacial Surgery, University of Michigan, University of Michigan Medical School, University of Michigan School of Dentistry, 1515 East Medical Center Drive, Towsley Center, G1100, Ann Arbor, MI 48109-5222, USA.
Oral and Maxillofacial Surgery Clinics of North America
|November 21, 2017
Summary
Pediatric condylar fractures are challenging due to limited bone and primary teeth. This review examines closed and open treatment options for these complex mandibular fractures.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Dentistry
- Orthodontics
Background:
- Pediatric condylar fractures pose unique management challenges.
- The developing mandible has limited bone for fixation.
- Primary dentition complicates traditional closed reduction techniques.
Purpose of the Study:
- To review current literature on managing pediatric condylar fractures.
- To compare closed versus open treatment approaches.
- To identify optimal strategies for this patient population.
Main Methods:
- Comprehensive literature search on pediatric condylar fractures.
- Analysis of studies detailing closed reduction techniques.
- Review of literature on open reduction and fixation methods.
Main Results:
- Limited bone in pediatric mandibles impacts fixation options.
- Primary teeth interfere with standard closed reduction.
- Both closed and open techniques have specific indications and limitations.
Conclusions:
- Management requires careful consideration of the pediatric patient's anatomy.
- Treatment selection depends on fracture severity and patient factors.
- Further research may clarify the most effective long-term treatment protocols.
