Year : 2020

Volume : Volume 11

Issue : Issue 3

Address for correspondence :
Dr. Sandarbh Saumya Sinha.
drsandarbh1@gmail.com

Abstract

Background:  Fractures of the mandibular condyle (MCFs) account for about 16 percent of all facial fractures in children and 40% of all mandibular fractures. Because of the missing dentition and the development of the mandible, mandibular condylar fractures in children are somewhat different from mandibular fractures in adults. Managing MCFs in children is still a point of contention. Few surgeons have advocated ORIF because of concerns that the placement of rigid hardware around the condylar growth centre would cause growth disruption because paediatric MCFs have a greater ability to remodel than adult fractures. Methods and Materials: Children upto the age of eighteen years with facial trauma from January 2019 to December 2019 were selected for the present study. Patients under the age of 18 were split into two categories. Category one: mandibular condylar fracture managed by closed reduction technique and category two:  mandibular condylar fractures managed by open reduction technique. These patients were followed up on for one to six months after surgery, and the information gathered was statistically analysed. Periodontal outcomes was analysed with the help of plaque index and gingival index. Orthodontics outcome was analysed on the basis of maximal incisal opening (MIO), and occlusion analysis. Results: The incidence of mandibular condylar fracture in children upto eighteen-year age group was 1.01 percent. When the mean maximal incisal opening was compared in both the groups then its value was slightly greater in category two but the difference was not statistically significant. On comparing the mean plaque index values and mean gingival index values it was found that the values were greater in the category one as compared to category two and the difference was significant statistically. Then there was comparison of the number of cases in which occlusal derangement was found. It was observed that the difference between the two groups were not significant statistically. On the other hand, the number of cases in which mobility of teeth was observed was greater in category one as compared to the category two Conclusion: It can be concluded from the current study that both closed reduction and open reduction are effective in management of mandibular condylar fracture but the periodontal problems and mobility of teeth are lesser in open reduction as compared with closed reduction. Given the healing abilities and technical problems in repairing the segments, as well as the expected remodelling in young ages, surgery before puberty should be designated for special circumstances. Keywords: Mandibular condylar fractures, children, open reduction, closed reduction.