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Management of Bilateral Condylar Fractures in an Edentulous Patient with Atrophic Mandible Using CADCAM Technology
Gabriel Duran-Rodriguez1, Andrés Gómez-Delgado2,3, Juan Pablo López3,4
1Oral and Maxillofacial Surgeon, Clínica de la Presentación, Grupo Ortofacial, Clínica Ospedale, Manizales, Colombia.
Purpose:
The objective of this article is to report the case of an edentulous patient with a diagnosis of bilateral condylar fracture, who was treated using virtual planning.
Methods:
CAD/CAM technology was used for the design and manufacture of a Gunning splint, which was employed for open reduction of the right fracture and closed management of the left side.
Results:
The reduction of the right condylar fracture projected in the planning was achieved, as well as the return of the vertical dimension and the restoration of function, after 28 months of observation.
Conclusion:
In the case of total edentulism, the lack of occlusal guidance and bone atrophy are important variables to consider; however, tools such as CAD/CAM technology can be used to take more predictable treatment decisions and facilitate the execution of the procedures.
