Zhao Yu-ming, Yang Jie, Bai Rui-chun, Ge Li-hong, Zhang Yi
Department of Paediatric Dentistry (Head: Prof. Man Qin), Peking University School and Hospital of Stomatology, Beijing, China.
Department of Oral and Maxillofacial Surgery (Head: Prof. Yi Zhang), Peking University School and Hospital of Stomatology, Beijing, China.
J Craniomaxillofac Surg. 2014 Oct;42(7):1078-82. doi: 10.1016/j.jcms.2012.07.010. Epub 2012 Aug 29.
Although the concept of conservative treatment for paediatric condylar fracture is well understood, there is still a lack of a recognized method for treating child patients with a condylar fracture. The purpose of this study was to investigate the effect of the removable occlusal splint in treating condylar fractures in children and adolescents.
Forty children and adolescents with condylar fracture, aged 3-16, were included in this study. A removable occlusal splint with varying thickness was fabricated according to the age, developmental stage of the mandible, and degree of condylar dislocation. This was worn for 1-3 months, accompanied by functional exercises. Follow-up was carried out by clinical observation and panoramic X-ray.
Clinically satisfactory results with good occlusion were obtained in all the patients, along with unimpaired function and normal growth and development of the mandible. The panoramic image showed remodelling and reconstruction of the fractured condyles.
Our results confirm that conservative treatment has a satisfactory clinical outcome in treating condylar fracture in children. The removable occlusal splint is a promising approach for treating condylar fracture in children and adolescents.
尽管儿童髁突骨折保守治疗的概念已被充分理解，但对于儿童髁突骨折患者仍缺乏一种公认的治疗方法。本研究的目的是探讨可摘式咬合夹板治疗儿童和青少年髁突骨折的效果。
本研究纳入了40例年龄在3至16岁的儿童和青少年髁突骨折患者。根据年龄、下颌骨发育阶段和髁突脱位程度制作不同厚度的可摘式咬合夹板。佩戴1至3个月，并辅以功能锻炼。通过临床观察和全景X线进行随访。
所有患者均获得了临床满意的结果，咬合良好，功能未受影响，下颌骨生长发育正常。全景图像显示骨折髁突的重塑和重建。
我们的结果证实，保守治疗在儿童髁突骨折的治疗中具有令人满意的临床效果。可摘式咬合夹板是治疗儿童和青少年髁突骨折的一种有前景的方法。
