Zhao Yu-ming, Bai Rui-chun, Ge Li-hong, Zhang Yi
Department of Oral and Maxillofacial Surgery, Peking University School, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2009 Dec;44(12):713-6.
To investigate the effect of soft occlusal splint in the treatment of condylar fracture in children and adolescents.
Twenty-three children with condylar fracture aged from 3 to 16 were included in this study. Impressions of both jaws were taken and stone working models poured. After occlusion was recovered by mounting on a bionic articulator, a soft occlusal splint was fabricated. The occlusal splint was worn for 1 to 3 months accompanied with functional exercise. Follow-up was carried out by clinical observation and panoramic image.
Clinical satisfactory results were obtained in all the patients with good occlusion, unimpaired function and normal growth and development of the mandibles. Panoramic image showed reconstruction of the fractured condyles, which were flattened and short.
Soft occlusal splint is a promising approach for treating condylar fracture in children.
探讨软式咬合板治疗儿童及青少年髁突骨折的效果。
本研究纳入23例3至16岁的髁突骨折儿童。取上下颌印模并灌注石膏工作模型。通过安装在仿生咬合架上恢复咬合关系后，制作软式咬合板。佩戴咬合板1至3个月，并进行功能锻炼。通过临床观察和曲面断层片进行随访。
所有患者临床效果满意，咬合良好，功能未受损，下颌生长发育正常。曲面断层片显示骨折髁突重建，髁突变平且变短。
软式咬合板是治疗儿童髁突骨折的一种有前景的方法。
