[Morphological studies on the Japanese mandibular condyle].
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We have observed two cases of fresh SFMC of the children treated by occlusal pads and one case of old SFMC not treated. According to the survey of the above two kinds of SFMC, we conclude that: (1) The degree of the fractured fragment of the children are smaller than that in the adult. The outcomes of the cases treated by occlusal pads are good. (2) The condyle will be malformed and adhered to the lateral tubercle of the mandibular fossa in the untreated case. (3) The principles of the treatment of fresh SFMC are to prevent secondary trauma of the joint, to let the residual part of the condyle remodelling under light pressure and to reduce distance between the fractured fragments. The occlusal pad can fulfil these requirements.
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A rare type of ramus fracture-dislocation has been presented. The inadequacy of standard mandibular fracture radiographic views for proper diagnosis of variable dislocations has been stressed. It was noted that proper positioning of the mandible in panoramic radiography would facilitate a satisfactory radiographic survey of the glenoid fossa and the condyle. In this case, interpositional silastic gap arthroplasty was performed to correct an extraarticular ankylosis and to restore mandibular function.