MODERN BASICS OF DIAGNOSIS AND TREATMENT OF FRACTURES OF THE CORONOID PROCESS OF THE MANDIBLE (LITERATURE REVIEW)
DOI:
https://doi.org/10.32782/2786-7684/2025-3-4Keywords:
fracture of the condylar process of the mandible, diagnostics and treatment methods, dysfunction of the temporomandibular joint, prevention of complications of untreated mandibular fractureAbstract
Introduction. According to the literature, TMJ disorders account for about 48% of all dental patients. A significant etiological factor in TMJ disorders is trauma of various types, duration, course, and nature of occurrence. The study notes the independence of TMJ problems from age, but no correlation is made with the method of care, and no further study of changes in the masticatory apparatus of the victims is being conducted. These data provide full justification for the need to analyze methods of treatment and prevention of complications after a fracture. The aim of the study is to analyze literary sources that concern the characteristics of methods of diagnosis and treatment of fractures of the condylar process of the mandible. Materials and methods. A search was conducted for scientific studies contained in the databases PubMed, Scopus, Web of Science, and Google Scholar. The results. Considering the type of medical care, the level of soft tissue damage, as well as the stability and uniformity of the distribution of chewing load on the dento-maxillary apparatus, as a system that ensures harmonious restoration of the TMJ. Special attention should be paid to prophylaxis after treatment using the intraoral method, as for a more unstable one in terms of complications. By following this method of prevention, it is planned to minimize the level of development of the chances of any complications. Such a protocol of preventive actions should include approximate terms of additional examinations, as well as a clear sequence of a set of actions on the part of the dentist. Conclusion. Currently, a large proportion of patients with unilateral or bilateral condyle fractures do not undergo orthopedic follow-up after surgery because it is not structured and is not considered necessary, although many studies indicate that prevention of complications is necessary.
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