International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 17 , ISSUE 2 ( February, 2024 ) > List of Articles


Conservative Management of Dislocated Pediatric Unilateral Condylar Fracture Using Orthodontic Treatment and Guiding Elastics

Nancy Goel, Shruti Jha, Ruchi Singhal, Nisha Gupta, Ritu Namdev, Charu Dayma

Keywords : Case report, Child Dentistry, Condyle fracture, Occlusion, Pediatric condyle fracture, Pediatric mandible fracture, Pediatrics patient

Citation Information : Goel N, Jha S, Singhal R, Gupta N, Namdev R, Dayma C. Conservative Management of Dislocated Pediatric Unilateral Condylar Fracture Using Orthodontic Treatment and Guiding Elastics. Int J Clin Pediatr Dent 2024; 17 (2):184-186.

DOI: 10.5005/jp-journals-10005-2753

License: CC BY-NC 4.0

Published Online: 22-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Introduction: Mandibular fractures in children, when compared to adults, are quite less common. Treatment approaches for mandibular fracture differ in children due to their growth and developing dentition. Minimal manipulation of bony architecture is done to achieve a stable position. Case description: An 8-year-old girl with right-side condylar fracture with dislocation reported to the emergency trauma unit, Post Graduate Institute of Dental Sciences, Rohtak. Result: The case was well managed by a conservative approach whereby orthodontic treatment along with guiding elastics was used in the reduction of unilateral condylar fractures.

PDF Share
  1. Pandey R, Khatri A, Gupta R, et al. Use of orthodontic brackets for intermaxillary fixation 12 for management of mandibular fracture in a pediatric patient. J Dent Allied Sci 2017;6(1):35. DOI: 10.4103/2277-4696.205445
  2. Leandro AV, Leonardo AV, Leandro MT, et al. Conservative treatment in condylar fracture in pediatric patients: case study. Acta Sci Dent Sci 2017;14–20.
  3. Cucurullo R, Giannuzzi I, Clivio A, et al. Management of unilateral condylar fracture in a 9.6-year-old female. Eur J Paediatr Dent 2009;10(2):95–101.
  4. Xu Y, Gong SG, Zhu F, et al. Conservative orthodontic fixed appliance management of pediatric mandibular bilateral condylar fracture. Am J Orthod Dentofacial Orthop 2016;150(1):181–187. DOI: 10.1016/j.ajodo.2016.02.012
  5. Mahgoub MA, El-Sabbagh AH, Abd El-Latif EA, et al. Condylar fractures: review of 40 cases. Ann Maxillofac Surg 2018;8(1):19–27. DOI: 10.4103/ams.ams_133_17
  6. Lesko RP, De Ruiter BJ, Kamel GN, et al. The management of a pediatric condylar fracture with dynamic elastic therapy. Eplasty 2019;19:ic16.
  7. Steed MB, Schadel CM. Management of pediatric and adolescent condylar fractures. Atlas Oral Maxillofac Surg Clin North Am 2017;25(1):75–83. DOI: 10.1016/j.cxom.2016.10.005
  8. Tuna EB, Dündar A, Cankaya AB, et al. Conservative approach to unilateral condylar fracture in a growing patient: a 2.5-year follow up. Open Dent J 2012;6:1–4. DOI: 10.2174/1874210601206010001
  9. Kamel GN, De Ruiter BJ, Baghdasarian D, et al. Establishing a protocol for closed treatment of mandibular condyle fractures with dynamic elastic therapy. Plast Reconstr Surg Glob Open 2019;7(12):e2506. DOI: 10.1097/GOX.0000000000002506
  10. Cassi D, Magnifico M, Di Blasio C, et al. Functional treatment of a child with extracapsular mandibular fracture. Case Rep Dent 2017;2017:9760789. DOI: 10.1155/2017/9760789
  11. Rahimov C, Farzaliyev I, Khankishiyev S, et al. Non-surgical treatment of condylar fractures in children. Oral Maxillofac Surg Cases 2020;6(1):100134.
  12. Ghasemzadeh A, Mundinger GS, Swanson EW, et al. Treatment of pediatric condylar fractures: a 20-year experience. Plast Reconstr Surg 2015;136(6):1279–1288. DOI: 10.1097/PRS.0000000000001811
  13. Tabrizi R, Langner NJ, Zamiri B, et al. Comparison of nonsurgical treatment options in pediatric condylar fractures: rigid intermaxillary fixation versus using guiding elastic therapy. J Craniofac Surg 2013;24(3):e203–e206. DOI: 10.1097/SCS.0b013e318293d605
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.