Correction of the occlusal and functional sequelae of mandibular condyle fractures using orthodontic mini-implant molar intrusion

Abstract

We report on the non-surgical management of an adult female whose bilateral mandibular condylar fractures had resulted in a clockwise (posterior) mandibular rotation, limitation of mandibular movements and increased occlusal loading on the molar teeth. She refused maxillary surgery and was treated with a minimally-invasive approach, involving orthodontic fixed appliances and mini-implant intrusion of the maxillary molar teeth. This provided both occlusal and functional improvements, including a significant increase in the inter-incisal distance, which were stable after one year of retention.

Keywords:

• Orthodontic mini-implants
• TADs
• condyle fracture
• anterior openbite

Acknowledgments

We are grateful to Dr Lars Christensen for cephalometric digitization and superimposition.