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Volume 8 Issue 2 (February, 2020)

Original Articles

Comparison of outcome of surgical treatment of condylar fractures with non-surgical treatment
Santosh Kumar, Sandeep Vaidya

Background: The displacement of condylar fracture is determined by the direction, degree, magnitude and precise point of application of the force, as well as the state of dentition and the occlusal position. Management of injuries of the condyle deserve special consideration apart from rest of the mandible due to their anatomic difference and their healing potential. Severe abnormalities in the function of the disco ligamentous system may result from fractures of this sort. Hence; the present study was undertaken for comparing the outcome of surgical treatment of condylar fractures with that of non-surgical treatment. Materials & methods: 54 patients of mandibular condylar fracture were included, out of which 27 patients managed surgically and 27 patients conservatively. Out of 54 patients 43 patients were males and 11 patients were females. Present study was undertaken to evaluate the demographics, compare the outcome of surgical and conservative treatments with advantages and disadvantages of both the techniques in terms of results and complications associated. All the results were recorded in Microsoft excel sheet and were analysed by SPSS software. Results: Mandibular deviation on mouth opening was present in all 54 patients in both the groups on preoperative examination. After treatment in group I there was no mandibular deviation present and in group II mandibular deviation on mouth opening was present in 8(29.6%) patients. There was statistically significant difference between two groups with p value .002 by applying Pearson Chi-Square test. At 6 months, follow-up in the closed treatment group, shortening was still (4.04 mmą1.91) and had not substantially improved when compared with the preoperative values. A similar situation occurred in the degree of angulation, which had only slightly improved with (26.43mmą6.53), with statistically significant difference between two groups (Student t-test, P<.001) in both the parameters when compared with the preoperative situation. Conclusion: In the long term, incomplete anatomical restoration in non-surgical methods can cause facial asymmetry and inclination of the occlusal plane, as well as functional occlusal problems, such as premature contact in protrusion and lateral excursion Key words: Surgical, Condylar fracture, Non-surgical

 
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