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http://dx.doi.org/10.4047/jap.2011.3.1.51

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)
Publication Information
The Journal of Advanced Prosthodontics / v.3, no.1, 2011 , pp. 51-55 More about this Journal
Abstract
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.
Keywords
Condylar fracture; Orthognathic surgery; Dental Implant; Full mouth rehabilitation;
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