Non-surgical management of bilateral condylar fracture with application of customized 3D printed hypomochlion splint a case report

Chitra Chakravarthy; Chethan Babu; Aaron Karthik; Ravi S. Patil; Sushmitha Bijja

doi:10.18203/2320-6012.ijrms20243403

Authors

Chitra Chakravarthy Department of Oral and Maxillofacial Surgery, Navodaya Dental College & Hospital, Raichur, Karnataka, India
Chethan Babu KVG Dental College & Hospital, Sullia, Karnataka, India
Aaron Karthik Department of Oral and Maxillofacial Surgery, Hyderabad, Telangana, India
Ravi S. Patil Department of Oral and Maxillofacial Surgery, AME Dental College & Hospital, Raichur, Karnataka, India
Sushmitha Bijja Department of Oral and Maxillofacial Surgery, Navodaya Dental College & Hospital, Raichur, Karnataka, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20243403

Keywords:

Condylar fracture, Post traumatic malocclusion, Nonsurgical, Splint, 3D printing

Abstract

Posttraumatic malocclusion is one of the most serious complications of condylar fracture responsible for mandibular functional impairment. Depending on the severity, it is imperative to resolve this complication through the surgical or nonsurgical mode of treatment. This report presents a scenario of a 21-year-old male patient with post-traumatic occlusal derangement due to the fracture of the bilateral condylar process and left parasymphysis mandible. The treatment protocol combined an open reduction and internal fixation for parasymphysis mandibular fracture and a closed approach using customized 3D printed hypomochlion splint and intermaxillary fixation in moderately displaced bilateral condylar fracture. No postoperative complication espied in a month follow-up period. Outcome in this case is, hypomochlion splint is effective in treating the post-traumatic occlusal discrepancy with the added advantage of accuracy of 3D printed splints that did not require intraoral manipulation and had better patient compliance.

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