Case Report
Volume 9 Issue 5 - 2020
Impact of Mandibular Condyle Fractures on Facial Growth in Growing Patients (The Importance of an Early Diagnosis)
Patrizia Defabianis*
Associate Professor, Department of Surgical Science, Section of Pediatric Dentistry, CIR-Dental School, University of Turin, Italy
*Corresponding Author: Patrizia Defabianis, Associate Professor, Department of Surgical Science, Section of Pediatric Dentistry, CIRDental School, University of Turin, Italy.
Received: March 17, 2020; Published: April 10, 2020


The knowledge of what happens to the stomatognathic system when some of its parts are altered is very important. Normal development of the mandible as well as some portions of the upper jaw and face are related to good function of the masticatory apparatus: the integrity and interaction of bony and soft-tissue structures may be highly disturbed by injury of the temporomandibular joints (TMJ) and result in facial and occlusal disharmonies. An early, correct diagnosis of the pathology is very important as proper restoration of normal anatomy and function is a key-point in the success of treatment. Unfortunately, traumatic lesions of the temporomandibular joint (TMJ) often are overlooked as they can apparently occur with relatively little pain, few clinical signs and without sufficient reaction by the child to obtain the adult’s attention regarding the seriousness of the injury. The frequent underestimation of the problem is due to the fact that pain assessment in children is difficult as the mechanisms of pain perception differ somewhat from that in adult people. Only a year or two later, when growth disturbances show up, they are perceived as a problem, but, at that time, the dysplastic growth pattern has stabilized and will continue during years.

This paper outlines a case report that draw attention to how this can occur and the impact this condition may have on facial development. Available data will be illustrated and discussed.

Keywords: Trauma; Condylar Fractures; Children; Facial Growth; Development


  1. Schellhas KP. “MR of muscle of mastication”. American Journal of Neuroradiology 10 (1989): 829-837.
  2. Pieritz U and Schmidseder R. “Central dislocation of the jaw joint into the middle cranial fossa”. Journal of Oral and Maxillofacial Surgery 9 (1981): 61-68.
  3. Kallal RH., et al. “Cranial dislocation of the mandibular condyle”. Journal of Oral and Maxillofacial Surgery 43 (1977): 8-19.
  4. Raadsheer MC., et al. “Masseter muscle thickness in growing individuals and its relation to facial morphology”. Archives of Oral Biology 41 (1996): 323-332.
  5. Chinnappi As and Getzoff H. “The dental-chiropratic co-treatment of manipulative structural disorders of the jaw and temporomandibular joint disfunction”. Journal of Manipulative and Physiological Therapeutics 18 (1995): 476-481.
  6. Rocabado M., et al. “Physical therapy and dentistry: An overview”. Journal of Craniomandibular Practice 1 (1982): 46-49.
  7. Waite DE. “Paediatric fractures of jaw and facial bones”. Paediatrics 51 (1973): 551-559.
  8. Halperin G. “Normal asymmetry and unilateral hypertrophy”. Archives of Internal Medicine 49 (1931): 676-682.
  9. Defabianis P. “Treatment of condylar fractures in children and youths: the clinical value of the occlusal plane orientation and correlation with facial development (case reports)”. Journal of Clinical Pediatric Dentistry 26 (2002): 243-250.
  10. Demianczuk AN, et al. “The effect on facial growth of pediatric mandibular fractures”. The Journal of craniofacial surgery 10 (1999): 323-332.
  11. Ingervall B and Thilander B “Relation between facial morphology and activity of the masticatory muscles”. Journal of Oral Rehabilitation 1 (1974): 131-137.
  12. Raadsheer MC., et al. “Masseter muscle thickness in growing individuals and its relation to facial morphology”. Archives of Oral Biology 41 (1996): 323-332.
  13. McGrath PA and Hillier LM. “The enigma of pain in children: an overview”. Pediatrician 16 (1989): 6-15.
  14. MC Bushnell., et al. “Pain perception: Is there a role for primary somatosensory cortex?” Proceedings of the National Academy of Sciences of the United States of America 96 (1999): 7705-7709.
  15. Lindahal L and Hollender L. “Condylar fractures of the mandible. A radiographic study of remodelling processes in the temporomandibular joint". International Journal of Oral and Maxillofacial Surgery 6 (1977): 153.
  16. Gionhaku N and Lowe AA. "Relationship between jaw muscle volume and craniofacial form". Journal of Dental Research 68 (1989): 805-809.
  17. Ingervall B and Helkimo E. "Masticatory muscle force and facial morphology in man". Archives of Oral Biology 23 (1978): 203-206.
  18. Ingervall B and Thilander B. "Relation between facial morphology and activity of the masticatory muscles". Journal of Oral Rehabilitation 1 (1974): 131-147.
  19. Okeson JP. “Management of Temporomandibular Disorders and occlusion, 4th Edition, C.V”. Mosby Co (1998).
  20. Bjork A. “Cranial base development A follow-up X-ray study of the individual variation in growth occurring between ages 12 and 20 years and its relation to brain case and face development”. American Journal of Orthodontics and Dentofacial Orthopedics 3 (1955): 195-225.
  21. Halperin G. “Normal asymmetry and unilateral hypertrophy”. Archives of Internal Medicine 49 (1931): 676-682.
  22. Sessle BJ., et al. “Effect of functional appliance on jaw muscle activity”. American Journal of Orthodontics and Dentofacial Orthopedics 98 (1990): 222-230.
Citation: Patrizia Defabianis. “Impact of Mandibular Condyle Fractures on Facial Growth in Growing Patients (The Importance of an Early Diagnosis)”. EC Paediatrics 9.5 (2020): 08-15.

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