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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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