A COMPARATIVE EVALUATION OF SURGICAL VERSUS CONVENTIONAL METHOD IN THE TREATMENT OF MANDIBULAR CONDYLAR FRACTURES

Abstract

INTRODUCTION: Mandible is one of the prominent bones in the facial skeleton. Since the condyle is the weakest portion of the mandible, it is one of the commonest sites of fractures in the mandible which is a protective mechanism as well. Condylar process fractures occur by the impact of an indirect traumatic force on the chin and seldom arise from direct trauma unless accompanied by fracture of the zygoma. Injury to the condylar region deserves special consideration apart from the rest of the mandible because of anatomical differences and healing potential.AIM OF STUDY: This is a prospective randomised study aimed to evaluate the functional outcome following non-surgical and surgical methods in the treatment of condylar process fractures. This study was conducted on 20 patients who MATERIALS AND METHOD: visited the Department of Dentistry, Darbhanga Medical College and Hospital, and who fullled the inclusion criteria were selected for the study after taking written informed consent and obtaining clearance from institutional ethical committee. We can conclude that if the condylar fracture is CONCLUSION: managed by closed reduction, there is more incidence of deviation of mandible towards fracture side as compared to cases managed by open reduction and internal xation. we can conclude that in cases of un-displaced condylar fracture, conservative treatment is preferred and we advice surgical treatment in cases of deviated or displaced condylar fracture.