Page 27 - Open versus closed Mandibular condyle fractures

Chapter 2.1 Closed
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Table 5. Overview of the treatment modalities applied in the studies included
Andersson et al.19 + Dijkstra et al.20 +
Method
Soft diet only
Not further described
+ Elastics
+ Guiding elastics
Fixation method ND
Arch bars
Duration 2–6 weeks 2–3 weeks
Additional care 2 weeks soft diet
Knak and Stoehr27 + Krause and Bremerich30 -
Head chin cap at night Not further described
+ Elastics + Wires
Arch bars
3–5 weeks 10–21 days
Activators/ functional orthodontics
MacLennan 29 +
Not further described
+ Wires/bandage
ND
most 0–14 days
Elastics/ training flange after release of MMF
Marker et al.21 + Murakami et al.22 + Niezen et al.23 + Niezen et al.25 +
Exercises/ liquid diet Physiotherapy
Not further described Not further described
+ Wires
+ ND
+ Guiding elastics + Guiding elastics
Arch bars ND
Arch bars Arch bars
4–6 weeks 13–21 days 2–3 weeks 2–3 weeks
Elastics after release of MMF/ instructions
Oikarinen et al.26 - Rahn et al.31 +
Not further described
+ ND + ND
ND
25.0–33,7 days 3 weeks
Not described Functional therapy
Rutges et al.28 + Silvennoinen et al.24 +
Soft diet only
Not further described
+ Wires/elastics + ND
ND ND
27 days 14–30 days
Elastics after release of MMF
Silvennoinen et al.5 + Smets et al.11 + Yamamoto et al.32 +
Soft diet/functional therapy
+ Wires/elastics + ND
+ ND
ND
Rigid biteblock
2–4 weeks 5–49 days 7–26 days
Elastic traction after release of MMF
ND, not described
Expectative
Conservative MMF Method
Functional therapy + activator
Head chin cap/ splint
Instructions regarding opening exercises
Guiding elastics, instructions/ physiotherapy
Restriction mandibular movement/ active functional therapy (pivot type splint)
Active functional therapy
Arch bars/ernst ligatures
Elastics after release of MMF/ functional therapy
3 weeks soft diet, physical therapy if indicated
Physiotherapy
3 weeks soft diet
3 weeks soft diet, physical therapy if indicated
Functional instructions/ physiotherapy