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La fractura del cóndilo mandibular es una lesión traumática cuya prevalencia en niños es relativamente baja, lo cual puede deberse tanto a factores anatómicos como ambientales. Las consecuencias incluyen anquilosis de la articulación temporomandibular, asimetrías faciales y trastornos funcionales. El tratamiento conservador es el que cuenta con may...
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Citations
... The main objectives are to reduce the fractured segments, restore dental occlusion, control infection, promote bone remodeling, prevent mandibular deviation, reduce pain and prevent growth and temporomandibular joint problems. 19 In the present clinical case, due to the circumstances presented, the patient did not undergo any dental treatment. It is important to understand and assume that the patient's immaturity and the risks associated with an extensive surgical procedure could lead to treatment failure. ...
... Osteopathy is a behavior that seeks to modify, alleviate or reduce habits or problems that cause a negative impact on the development and normal growth of the maxillofacial complex, correcting occlusal relationships through opening and tightening movements, as well as laterality. 19 The assessment of pain in newborns and infants is difficult to measure since pain is a subjective phenomenon, and the physical, cognitive, and behavioral development of the baby complicates the diagnosis of painful sensations. 20,21 In the 2000s, some authors argued that babies do not feel pain in the same way adults do, 22 Although recent studies show that babies are hypersensitive to painful stimuli due to the immaturity of their nervous system, perceiving pain in a manner very similar to that of adults. ...
Facial fractures are uncommon and challenging situations in early childhood. When facial trauma occurs, involvement of mandibular structures such as the condyle is highly prevalent. The present study aimed to report a case of condylar fracture associated with trauma in early childhood, including the diagnosis and management. A 6-year-old female patient presented to the Pediatric Dental Emergency Care at the Children's Specialty Clinic, Baby-Clinic, at the State University of Londrina (UEL), with a complaint of prolonged retention of tooth 51 and the need for orthodontic treatment. During the anamnesis, the legal guardian reported providing preventive dental care at the Basic Health Unit and a history of trauma at 3 and 6 months of age. On clinical examination, facial asymmetry and deviation of the midline during mouth opening were observed. Palpation revealed inadequate movement of the left temporomandibular joint. Complementary exams confirmed the diagnosis of condylar fracture and consolidation of the left condyle in an abnormal position. As a course of action, the multidisciplinary team opted to follow the case until the jawbone had fully developed. Based on this report, we can conclude that it is the pediatric dentist's duty to be alert to skeletal changes in children to avoid underdiagnosis of severe bone fractures and their sequelae, ensuring quality of life for the child and his/her family.
