Simple Closed Reduction as an Emergency Treatment for Bilateral Condylar Fracture: A Case Report

Introduction: Condylar fractures can cause clinical symptoms of facial asymmetry and difficulty opening or closing the mouth. Overall mandibular movements are usually more restricted, if the condyle is displaced bilaterally, shortening of ramus occurs resulting in derangement of occlusion. Overriding of the fractured segments result in anterior open bite. Case Report: A 24years old patientcame to Padjadjaran university dental hospital emergency department presented with complaints of unable to open his mouth after falling from a motorcycle accident. On clinical examination, it was found that there was limited mandibular movement with open bite occlusion. Schedel AP lateral and Panoramic X - ray examination showed bone discontinuities in the right mandibular area and the left and right mandibular condyles. The patient was diagnosed with the patient was diagnosed with bilateral condyle fracture, the right body of mandibular fracture, dento alveolar fracture of tooth 34 with 1/3 of the cervical crown, and post - suturing at the chin region. Result: In this case, the patient was successfully treated until the initial treatment with a closed reduction technique and showed good results. At forty - days control, the opening of the patient?s mouth was ?3 cm, and the occlusion was normal. Discussion: The late management in mandibular fracture can cause complications, such as ankylosis. If it was not treated immediately surgeryor open reduction is the best choice of treatment when the long - standing fracture has persisted, and ankylosis occurred. Conclusion: The management of mandibular condyle fracture must be treated immediately and based on the accurate diagnosis, it can reduce and eliminate the possible complications.