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Clinical course of masticatory function recovery following arthrocentesis in patients with unilateral mandibular condyle head fracture
Institution:1. Division of Oral and Maxillofacial Surgery, Department of Disease Management Dentistry, Tohoku University Graduate School of Dentistry, 4–1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Miyagi, Japan;2. Joint Research Department of Next-Generation Dental Materials Engineering, Tohoku University Graduate School of Dentistry, 4–1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Miyagi, Japan;3. Division of Advanced Prosthetic Dentistry, Tohoku University Graduate School of Dentistry, 4–1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Miyagi, Japan;1. The Peoples'' Friendship University of Russia, 6 Miklukho-Maklaya St., Moscow, 117198, Russian Federation;2. I.M. Sechenov First Moscow State Medical University (Sechenov University), 8/2 Trubetskaya St., 119991, Moscow, Russian Federation;3. Burdenko Main Military Clinical Hospital, 3 Gospitalnaya Poloschad, Moscow, 105229, Russian Federation;1. Department of Cranio-Maxillofacial Surgery, University Hospital Regensburg, Regensburg, Germany;2. Tumor Center — Institute for Quality Management and Health Services Research, University of Regensburg, Regensburg, Germany;3. Department of Internal Medicine 5 — Hematology/Oncology, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany;4. Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Germany;1. Department of Oral and Maxillofacial and Facial Plastic Surgery, Martin-Luther-University Halle-Wittenberg (Head: Prof. Dr. Dr. S. Otto), Ernst-Grube-Straße 40, 06120, Halle, Germany;2. Professor Emeritus of the Department of Oral and Maxillofacial and Facial Plastic Surgery, Martin-Luther-University Halle-Wittenberg, 06193, Petersberg, Germany;1. Univ. Lille, CHU Lille, Service de Chirurgie Maxillo-Faciale et Stomatologie, F-59000, Lille, France;2. Univ. Lille, CHU Lille, INSERM, Service de Chirurgie Maxillo-Faciale et Stomatologie, U1008;3. Controlled Drug Delivery Systems and Biomaterials, F-59000, Lille, France;4. Ramsay Générale de Santé, Hôpital Privé Arras Les Bonnettes, Arras, France
Abstract:The aim of this study was to investigate the clinical course of masticatory function recovery following arthrocentesis. Patients with a unilateral condylar head fracture who underwent arthrocentesis for therapeutic reasons were evaluated and compared with patients with a unilateral condylar head fracture who did not undergo arthrocentesis. At 3 months after treatment, the occlusal contact area and maximum bite force in patients with a fracture treated with arthrocentesis were greater than in those who did not receive arthrocentesis at the same time points, although the differences were not significant. Moreover, at 1 and 3 months following arthrocentesis, mean (±SD) occlusal contact area (1 month: 1.99 ± 0.55 mm2, p = 0.01; 3 months: 2.90 ± 1.36 mm2, p = 0.03) and maximum bite force (1 month: 82.45 ± 15.04 N, p = 0.01; 3 months: 101.11 ± 14.53 N, p = 0.01) on the fractured side in patients who underwent that treatment were significantly reduced when compared with those on the non-fractured side. The authors conclude that if the priority is to avoid open reduction and internal fixation, then the arthrocentesis approach might be a less invasive alternative, albeit with the price of a prolonged healing interval.
Keywords:Mandibular condyle head fracture  Arthrocentesis  Occlusal contact area  Maximum bite force  Masticatory function
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