PMC5463145_01
(a, b) Frontal view of the face and limitation in mouth opening.
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The patient presented with a minor skin lesion in the chin area, only requiring a superficial medication (Figure 1(a)). She was affected by a mild pain and limitation in mouth opening (Figure 1(b)), without any problems in general health condition.
The large fracture area between the ramus and condylar neck.
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Despite the largely affected area, the vertical dimension and the occlusion were preserved and the cranial piece of the fracture was not widely dislocated from the caudal one, probably due to the integrity of the periosteal layer (Figure 2).
Functional removable appliance.
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After this phase promoting osseous union, the classic functional therapy was prescribed, including both full exercises and functional removable appliance (Figure 3).
The good functional result of the therapy.
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The modified CRT sequence was carried on for six months with good results in terms of jaw mobility (Figure 4) and a radiographic control was performed.
The complete anatomical restoring of the fracture.
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In the new orthopantomography, the two fragments appeared perfectly jointed and the fracture line was no more visible (Figure 5).
Functional results and frontal occlusion.
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