Condylar fractures Etiology Usually indirect trauma E.g. Injury to symphysis results in bilateral condyle fractures Injury to canine area opposite side condyle fracture
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Condylar fractures
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Condylar fractures Classification • Anatomical • Intra capsular or extra capsular • Clinical • No displacement, deviation, displacement, dislocation • Depending on side • Unilateral or bilateral www.indiandentalacademy.com
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Condylar neck fractures Spiessl and Schroll classification Type I Fracture without serious dislocation Type II Deep seated fracture with dislocation Type III High fracture with dislocation Type IV Deep seated fracture with luxation Type V High fracture with luxation Type VI Condylar head or intra capsular fracture www.indiandentalacademy.com
Condylar fractures Clinical features •Swelling over T.M.joint •Bleeding from the ear •Inability to open the mouth •Occlusal derangement
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Condylar fractures Clinical features:unilateral • Deviation of the jaw to fractured side on opening •Mid line shift to the fractured side • Lateral movement to opposite side is limited
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Condylar fractures Clinical features:bilateral • Gagging of posterior teeth •Anterior open bite • Lateral movements limited bilaterally
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Condylar fractures Diagnosis:Radiographs • Orthopantmograph • Trans cranial, orbital, pharyngeal views • Lateral oblique views • P. A. view
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Condylar fractures Management •No active treatment •Brief period of immobilization followed by jaw opening exercises •Open reduction Trans osseous wiring Bone plates
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Condylar fractures Complications Ankylosis
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