Management of Pediatric Mandibular Condyle Fracture and Malocclusion Using a Function-Generating Bite Appliance: A...

Area of Science:

• Orthodontics
• Pediatric Dentistry
• Oral and Maxillofacial Surgery

Background:

• Mandibular fractures are common in children, with condylar fractures accounting for a significant portion.
• High-neck condylar fractures require careful management, especially during growth, to prevent long-term consequences.
• Treating concurrent fractures and malocclusions in growing patients presents unique challenges.

Purpose of the Study:

• To describe the successful conservative management of a unilateral mandibular condyle fracture with malocclusion in a growing child.
• To evaluate the efficacy of the function-generating bite (FGB) appliance in addressing both traumatic injury and orthodontic issues.

Main Methods:

• A 9-year-old male with a right high-neck condylar fracture and anterior crossbite was treated.
• A custom-made function-generating bite (FGB) appliance was utilized.
• The FGB appliance was designed to prevent intercuspal contacts, align the occlusal plane, and facilitate mandibular repositioning.

Main Results:

• The FGB appliance treatment successfully restored condylar anatomy during the growth period.
• Patient experienced improved mouth opening, resolution of lateral deviation, and reduced pain during chewing.
• The concurrent anterior crossbite malocclusion was effectively corrected.

Conclusions:

• Conservative functional therapy using the FGB appliance is a viable and effective treatment option.
• The FGB appliance successfully manages pediatric mandibular condyle fractures alongside malocclusions.
• This approach offers a promising alternative to surgical interventions in growing patients.