Conservative treatment of mandibular condo fracture after firearm injury: inter-relationship between surgery and Orthodontics

Vol. 13 – Number 50 – 2020 Case report Page 70-75 Conservative treatment of mandibular condo fracture after firearm injury: inter-relationship between surgery and Orthodontics Silvia Natalia Souza de Péder1 Eder Alberto Sigua Rodriguez2 Jose Henrique Santana Quinto3 João Sarmento Pereira Neto4 Liogi Iwaki Filho5 Gustavo Jacobucci Farah6 Abstract Introduction: The treatment of condylar fractures caused by firearm projectile has controversies in the literature. Objective: This study aimed to describe a clinical case of mandibular condyle fracture caused by firearm injury and treated with elastic therapy and physiotherapy. Discussion: The maxillofacial region has been a constant target for this type of trauma, reflecting the high urban violence. Frequently these traumas involve comminuted fractures in the region and the therapeutic approach for these cases depends on the displacement, degree of fracture comminution and patient cooperation. Despite the different possibilities for treatment of mandibular fractures, non-surgical treatment is a valid option as first choice, especially in cases of favorable fractures, without large bone displacements and associated with patient adherence to treatment. Final considerations: The combination of maxillo-mandibular block and elastic therapy as a conservative treatment is recommended for the restoration of stomatognathic functionality, followed by periodic follow-up. Descriptors: Mandibular Condyle, firearm injuries, Orthodontics. 1 Resident in Oral Maxillofacial Surgery and Traumatology – UEM. 2 Resident – UEM, Dr. – Institución Universitaria Colegios de Colombia. 3 Specialist in Buco Maxillofacial Surgery and Traumatology – UEM. 4 Professor – University of Piracicaba, Master in Orthodontics – UNICAMP, Doctor in Orthodontics – UNICAMP. 5 Professor – UEM, Master and Doctor in Oral Diagnosis – FOB-USP. 6 Professor – UEM, Master in Oral and Maxillofacial Surgery and Traumatology – Piracicaba School of Dentistry – UNICAMP, Doctor in Oral and Maxillofacial Surgery and Traumatology – Piracicaba School of Dentistry – UNICAMP.