Conservative Treatment of Mandibular Condyle Fracture in a Patient With Wegener’s Granulomatosis

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Basiry M. N. , Cavli B. , Ulucan M. Ç. , Türel Yücel T. , Karabiyik Z.

AÇBİD, Antalya, Turkey, 11 - 15 May 2022, pp.181-182

  • Publication Type: Conference Paper / Summary Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: 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.