TODENTJ-25-03-2019_TODENTJ-6-1 1553505306 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 1 12 2012 6 1 Elif Bahar Tuna Aysun Dündar Abdülkadir Burak Çankaya Koray Gençay Condylar fractures in children are especially important because of the risk of a mandibular growth-center being affected in the condylar head, which can lead to growth retardation and facial asymmetry. The purpose of this article is to follow up the two and half year clinical and radiological evaluation of the conservative treatment of a 10 year-old patient, who had a unilateral green-stick type fracture. The patient presented with painful facial swelling localized over the left condylar region, limited mouth-opening and mandibular deviation to the left. Panoramic radiography and computed tomography confirmed the diagnosis of incomplete fracture on the left condyle with one side of the bone fractured and the other bent. Closed reduction was chosen to allow for initial fibrous union of the fracture segments and remodeling with a normal functional stimulus. A non-rigid mandibular splint was applied in order to remove the direct pressure on the fracture side of the mandible. Clinical and radiologic examination after 30 months revealed uneventful healing with reduction of the condylar head and remodeling of the condylar process following conservative treatment. 1 12 2012 1 4 TODENTJ-6-1 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2011-9-28 2011-11-11 2011-11-22 2012-1-12 http://creativecommons.org/licenses/by-nc/3.0/ 10.2174/1874210601206010001 1553505306 https://opendentistryjournal.com/VOLUME/6/PAGE/1/ https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.pdf https://opendentistryjournal.com/contents/volumes/V6/TODENTJ-6-1/TODENTJ-6-1.xml Endod Dent Traumatol Silvennoinen U 9 254 1993 Silvennoinen U, Lindqvist C, Oikarinen K. Dental injuries in association with mandibular condyle fracture Endod Dent Traumatol 1993; 9 : 254-9. J Craniomaxillofac Surg Zachariades N 34 421 2006 Zachariades N, Mezitis M, Mourouzis C, Papadakis D, Spanou A. Fractures of the mandibular condyle: a review of 466 cases. Literature review, reflections on treatment and proposals J Craniomaxillofac Surg 2006; 34 : 421-32. Int J Med Sci Valiati R 5 313 2008 Valiati R, Ibrahim D, Abreu ME, et al. The treatment of condylar fractures: to open or not to open? A critical review of this controversy Int J Med Sci 2008; 5 : 313-8. J Indian Soc Pedod Prev Dent Kalia V 26 32 2008 Kalia V, Singh AP. Greenstick fracture of the mandible: A case report J Indian Soc Pedod Prev Dent 2008; 26 : 32-5. Proffit WR. Contemporary orthodontics. 2nd ed. Mosby: St Louis 1993. Mosby Year Book Front Oral Physiol Giannı̀ E 7 38 1990 Giannı̀ E, Bruno E, Farronato G, Giannı̀ AB. The temporomandibular joint: diagnosis-functional aspects Front Oral Physiol 1990; 7 : 38-45. Dent Traumatol Farronato G 25 e37 2009 Farronato G, Grillo ME, Giannini L, et al. Long-term results of early condylar fracture correction: case report Dent Traumatol 2009; 25 : e37-42. Br Dent J Hackett JF 191 557 2001 Hackett JF, Sleeman DJ. Vertical-split fracture of mandibular condyle and its sequelae Br Dent J 2001; 191 : 557-8. Int J Oral Maxillofac Surg De Riu G 30 384 2001 De Riu G, Gamba U, Anghinoni M, Sesenna E. A comparison of open and closed treatment of condylar fractures: a change in philosophy Int J Oral Maxillofac Surg 2001; 30 : 384-9. Br J Oral Maxillofac Surg Lloyd T 39 301 2001 Lloyd T, Nightingale C, Edler R. The use of vacuum-formed splints for temporary intermaxillary fixation in the management of unilateral condylar fractures Br J Oral Maxillofac Surg 2001; 39 : 301-. Dent Traumatol Li Z 26 228 2010 Li Z, Zhang W, Li ZB, Li JR. Mechanism in favorable prognosis of pediatric condylar fractures managed by closed procedures: an experimental study in growing rats Dent Traumatol 2010; 26 (3) : 228-35.