Research Information System
AÇBİD, Antalya, Turkey, 11 - 15 May 2022, pp.181-182
Objective: Wegener’s granulomatosis (WG) is an idiopathic, systemic inflammatory disease
characterized by necrotizing granulomatous inflammation and pauci-immune small-vessel
vasculitis of upper and lower respiratory tract and kidneys. WG has a initial presenting
symptoms including salivary gland enlargement oral and/or nasal ulcers. Oral manifestations of
WG include delayed healing of extraction wounds, osteomylitis, resorption and osteonecrosis.
Case: A 71-year-old female patient was admitted to our clinic with a history of trauma to the
chin area as a result of falling on a hard floor. Her medical history was significant for heart
rhythm disorder and WG. She was taking medications to manage these conditions, including
prednisone and methotrexat. In his clinical examination, widespread ecchymosis spreading to
the extraoral neck planes, limitation in mouth opening was observed. Radiographic examination
revealed a non-displaced fracture in the left mandibular condyle at the intracapsular level and
clinically vertical loss in the relevant region. A total prosthesis was applied to the patient to
increase the vertical dimension in the fracture area. Fracture treatment was carried out by
preventing complications that may occur in invasive procedures with conservative treatment.
Conclusion: WG is a multisystem disease with significant morbidity and mortality, which limits
invasive procedures both in relation to the disease and drugs. In our case, we performed the
treatment of unilateral condyle fracture with a conservative method. We did not encounter any
problems in the follow-up of the patient. We presented our case report to increase awareness
of WG and dental management strategies.