Indian Journal of Plastic Surgery
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Year : 2013  |  Volume : 46  |  Issue : 2  |  Page : 215--220

Avoiding occlusal derangement in facial fractures: An evidence based approach


1 Department of Plastic and Reconstructive Surgery, Bangalore Baptist Hospital, Bangalore, Karnataka, India
2 Department of Maxillofacial Surgery, Bangalore Baptist Hospital, Bangalore, Karnataka, India

Correspondence Address:
Derick Mendonca
Consultant Plastic Surgeon, Department of Plastic and Reconstructive Surgery, Bangalore Baptist Hospital, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.118596

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Facial fractures with occlusal derangement describe any fracture which directly or indirectly affects the occlusal relationship. Such fractures include dento-alveolar fractures in the maxilla and mandible, midface fractures - Le fort I, II, III and mandible fractures of the symphysis, parasymphysis, body, angle, and condyle. In some of these fractures, the fracture line runs through the dento-alveolar component whereas in others the fracture line is remote from the occlusal plane nevertheless altering the occlusion. The complications that could ensue from the management of maxillofacial fractures are predominantly iatrogenic, and therefore can be avoided if adequate care is exercised by the operating surgeon. This paper does not emphasize on complications arising from any particular technique in the management of maxillofacial fractures but rather discusses complications in general, irrespective of the technique used.






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