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Full mouth rehabilitation on a bilateral condylar fractured patient using orthognathic surgery and dental implant

  • Park, Jee-Youn (Divison of Prosthodontics, Department of Dentistry, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Ahn, Kang-Min (Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Lee, Joo-Hee (Divison of Prosthodontics, Department of Dentistry, College of Medicine, University of Ulsan, Asan Medical Center) ;
  • Cha, Hyun-Suk (Divison of Prosthodontics, Department of Dentistry, College of Medicine, University of Ulsan, Asan Medical Center)
  • 투고 : 2011.02.24
  • 심사 : 2011.03.11
  • 발행 : 2011.03.31

초록

BACKGROUND. Mandibular displacement is a common complication of condylar fracture. In the mandibular displacement due to condylar fracture, it is difficult to restore both esthetics and function without using orthognathic surgery. CASE DESCRIPTION. This clinical report described a full mouth rehabilitation in the patient with bilateral condylar fractures and displaced mandible using bilateral sagittal split ramus osteotomy (BSSRO) and simultaneous dental implant surgery. Mandibular position was determined by model surgery through the diagnostic wax up and restoration of fractured teeth. The precise amount of the mandibular shift can be obtained from the ideal intercuspation of remaining teeth. CLINICAL IMPLICATION. Mandibular displacement by both condylar fractures can be successfully treated by orthognathic surgery. Determination of occlusal plane and visualization from diagnostic wax up are mandatory for mandibular repositioning of model surgery. Stable occlusion and regular recall check up are needed for long-term outcome.

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참고문헌

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피인용 문헌

  1. Full mouth rehabilitation of a panfacial fracture patient with bilateral condylar fracture vol.30, pp.2, 2014, https://doi.org/10.14368/jdras.2014.30.2.159
  2. Conservative interdisciplinary treatment of a case with multiple facial and condyle fractures vol.33, pp.3, 2016, https://doi.org/10.1111/edt.12290
  3. Stratégie des réhabilitations orales concomitantes à une chirurgie orthognatique : prise en charge implanto-prothétique vol.50, pp.1, 2016, https://doi.org/10.1051/odf/2015046
  4. How Can We Improve Crown-Implant Ratio in Reconstructed Mandible with Fibular Free Flap?: A New Surgical Technique Using 3D RP Model and Reconstruction Titanium Plates vol.4, pp.1, 2017, https://doi.org/10.18204/jissis.2017.4.1.013