**7. Management of condylar fractures**

Aims of treatment includes


This is achieved by proper repositioning and immobilization of the fractured fragments.

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*Diagnosis and Management of Mandibular Condyle Fractures*

**8. Conservative treatment of condylar fractures**

Treatment options for mandibular condyle fractures can be divided into conser-

Conservative therapy remained the primary mode of treatment of mandibular condyle fracture for many years. This is now overshadowed by surgical therapy due to increase in surgical expertise and the advent of new technological advances in both instrumentation and radiological diagnosis. But there exist certain scenarios

In closed reduction achievement of good occlusal relationship acts as the guidance for proper reduction. The upper and lower jaws are fixed together in occlusal relationship by means of intermaxillary fixation or maxillomandibular fixation done using wires or splints. The wires that pass through the embrasure space of the adjacent teeth of the same arch are called interdental wires. These are later engaged

Various modalities of intermaxillary fixation used commonly for condylar

*DOI: http://dx.doi.org/10.5772/intechopen.93795*

vative treatment and surgical management [9].

where conservative treatment is preferred.

during intermaxillary wiring.

• Continuous ivy loop wiring

• Cap splint in pediatric patients

• Gunning splints in edentulous patients

Indications for conservative treatment:

• Minimally displaced fracture (Not more than 30°),

• Presence of systemic comorbidities which may be an absolute contraindication

• Condylar head fracture where there is an increased risk of injury to the joint and the adjoining structures. (Vascularity of the fragment may also be compro-

• Minimal pain complaints and no occlusal discrepancies with acceptable range

fracture are:

1.Wiring:

• Ivy loop wiring

• Gilmer wiring

• Erich's arch bar

• Pediatric fractures,

mised by osteosynthesis).

• Diacapitular fracture of the condyle [9].

for surgery,

of movements.

2.Arch bars:

3.Splints:

Treatment options for mandibular condyle fractures can be divided into conservative treatment and surgical management [9].
