Complete mouth rehabilitation in a patient with condylar fracture malunion: A clinical report

Sang-Ah Lee; Chan-Ho Park; Kyung-Ho Ko; Chan-Jin Park; Lee-Ra Cho

doi:10.1016/j.prosdent.2023.12.023

Complete mouth rehabilitation in a patient with condylar fracture malunion: A clinical report

J Prosthet Dent. 2024 Mar 4:S0022-3913(24)00056-8. doi: 10.1016/j.prosdent.2023.12.023. Online ahead of print.

Authors

Sang-Ah Lee¹, Chan-Ho Park¹, Kyung-Ho Ko², Chan-Jin Park³, Lee-Ra Cho⁴

Affiliations

¹ Graduate student, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea.
² Associate Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea.
³ Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea.
⁴ Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea. Electronic address: lila@gwnu.ac.kr.

PMID: 38443239
DOI: 10.1016/j.prosdent.2023.12.023

Abstract

Mandibular condyle fracture malunion and tooth loss can cause functional and esthetic problems. A patient with restricted mouth opening associated with muscle atrophy required prosthetic rehabilitation. Since the remaining teeth had a poor prognosis and the patient had difficulty adapting to the interim denture, complete mouth rehabilitation with implants was chosen. The implants were placed by using nerve lateralization and an autogenous bone graft. Prosthetic rehabilitation combines digital diagnosis and conventional prosthetic restorations. The definitive prosthesis was fabricated to ensure adequate oral hygiene and functional adaptation of the orofacial structures. Treatment resulted in stable masticatory function, occlusion, and esthetics and restored the function of the atrophied lips and restricted mouth opening.