Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient

Background. Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in...

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Main Authors: Sahani Anupama, Pilana Vithanage Kalani Shihanika Hettiarachchi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2021/5579236
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author Sahani Anupama
Pilana Vithanage Kalani Shihanika Hettiarachchi
author_facet Sahani Anupama
Pilana Vithanage Kalani Shihanika Hettiarachchi
author_sort Sahani Anupama
collection DOAJ
description Background. Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in posterior edentulous patients due to the lack of posterior occlusal contacts. It is crucial to do radiological investigations in such patients to exclude fractures. Case Presentation. This article describes a case of delayed diagnosis of a unilateral mandibular condylar fracture for a week’s duration and treating the condition as temporomandibular pathology in a posterior edentulous, 52-year-old patient. Conclusion. This clinical case highlights the importance of radiological investigations and occlusal analysis for early diagnosis of condylar fractures, particularly in posterior edentulous patients, lacking posterior occlusal contacts.
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institution Kabale University
issn 2090-6447
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-7f9f57642d7b4bc084366108c4605e2b2025-08-20T03:35:20ZengWileyCase Reports in Dentistry2090-64472090-64552021-01-01202110.1155/2021/55792365579236Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous PatientSahani Anupama0Pilana Vithanage Kalani Shihanika Hettiarachchi1Department of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri LankaDepartment of Oral Medicine and Periodontology, Faculty of Dental Sciences, University of Peradeniya, Sri LankaBackground. Fractures of the mandible are common in elderly patients, and among them, condylar fractures are the most frequent type. A change in occlusion is the most common physical finding in patients with fractures of the mandible. Therefore, it is challenging to identify mandibular fractures in posterior edentulous patients due to the lack of posterior occlusal contacts. It is crucial to do radiological investigations in such patients to exclude fractures. Case Presentation. This article describes a case of delayed diagnosis of a unilateral mandibular condylar fracture for a week’s duration and treating the condition as temporomandibular pathology in a posterior edentulous, 52-year-old patient. Conclusion. This clinical case highlights the importance of radiological investigations and occlusal analysis for early diagnosis of condylar fractures, particularly in posterior edentulous patients, lacking posterior occlusal contacts.http://dx.doi.org/10.1155/2021/5579236
spellingShingle Sahani Anupama
Pilana Vithanage Kalani Shihanika Hettiarachchi
Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient
Case Reports in Dentistry
title Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient
title_full Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient
title_fullStr Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient
title_full_unstemmed Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient
title_short Delayed Diagnosis of Unilateral Mandibular Condylar Fracture in a Posterior Edentulous Patient
title_sort delayed diagnosis of unilateral mandibular condylar fracture in a posterior edentulous patient
url http://dx.doi.org/10.1155/2021/5579236
work_keys_str_mv AT sahanianupama delayeddiagnosisofunilateralmandibularcondylarfractureinaposterioredentulouspatient
AT pilanavithanagekalanishihanikahettiarachchi delayeddiagnosisofunilateralmandibularcondylarfractureinaposterioredentulouspatient