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Peer-reviewedCC BY 4.0Journal of Clinical Medicine

Clinical Outcomes and Patient-Reported Satisfaction with Functional Orthodontic Treatment of Mandibular Condylar Process Fractures

  • Ann Nitzsche1
  • Franziska Krause1
  • Marco Dederichs2
  • Konrad Tolksdorf3
  • Martin Fischer3
  • Stefan Schultze-Mosgau3
  • Collin Jacobs4
  • Christoph-Ludwig Hennig1
4 affiliations
  1. 1Department of Orthodontics, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
  2. 2Department of Prosthodontics, Center of Dental Medicine, University Hospital Jena, An der alten Post 4, 07743 Jena, Germany
  3. 3Department of Oral and Maxillofacial Surgery/Plastic Surgery, University Hospital Jena, Am Klinikum 1, 07747 Jena, Germany
  4. 4Department of Orthodontics, University Hospital Duesseldorf, Moorenstraße 5, 40225 Duesseldorf, Germany
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Abstract

Objectives: Mandibular condylar process fracture is the most common fracture of the mandible, with great medical relevance. Materials and Methods: In this retrospective exploratory observational study, we describe outcomes in 22 patients after unilateral or bilateral mandibular condylar process fracture. Owing to heterogeneous treatment allocation and the absence of a comparable control group, the findings are descriptive and hypothesis-generating rather than causal. In addition to collecting descriptive data from digital patient records, a survey was conducted using standardized questionnaires on the underrepresented construct of oral health-related quality of life. Results: The patient sample comprised 22 individuals between the ages of 8 and 72 years after functional orthodontic or combined surgical–functional orthodontic treatment 2.5 years after sustaining a unilateral or bilateral mandibular condylar process fracture. In this cohort, children showed more favorable observed functional results than adults. Unilateral fractures were associated with better functional outcomes than bilateral fractures. Furthermore, midline shift was more common in unilateral fractures and was associated with functional limitations such as occlusal disorders. Conclusions: Both treatment approaches were associated with favorable functional and radiographic outcomes, particularly in children and after unilateral fractures, although these findings should be interpreted as descriptive and hypothesis-generating in light of the limited sample size.

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Cite

BibTeXRIS
BibTeX
@article{nitzsche2026clinical,
  title = {{Clinical Outcomes and Patient-Reported Satisfaction with Functional Orthodontic Treatment of Mandibular Condylar Process Fractures}},
  author = {Ann Nitzsche and Franziska Krause and Marco Dederichs and Konrad Tolksdorf and Martin Fischer and Stefan Schultze-Mosgau and Collin Jacobs and Christoph-Ludwig Hennig},
  journal = {Journal of Clinical Medicine},
  year = {2026},
  month = oct,
  doi = {10.3390/jcm15218401},
  url = {https://www.mdpi.com/2077-0383/15/21/8401},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Clinical Outcomes and Patient-Reported Satisfaction with Functional Orthodontic Treatment of Mandibular Condylar Process Fractures
AU  - Ann Nitzsche
AU  - Franziska Krause
AU  - Marco Dederichs
AU  - Konrad Tolksdorf
AU  - Martin Fischer
AU  - Stefan Schultze-Mosgau
AU  - Collin Jacobs
AU  - Christoph-Ludwig Hennig
PY  - 2026
DA  - 2026/10/28
JO  - Journal of Clinical Medicine
DO  - 10.3390/jcm15218401
UR  - https://www.mdpi.com/2077-0383/15/21/8401
AB  - Objectives: Mandibular condylar process fracture is the most common fracture of the mandible, with great medical relevance. Materials and Methods: In this retrospective exploratory observational study, we describe outcomes in 22 patients after unilateral or bilateral mandibular condylar process fracture. Owing to heterogeneous treatment allocation and the absence of a comparable control group, the findings are descriptive and hypothesis-generating rather than causal. In addition to collecting descriptive data from digital patient records, a survey was conducted using standardized questionnaires on the underrepresented construct of oral health-related quality of life. Results: The patient sample comprised 22 individuals between the ages of 8 and 72 years after functional orthodontic or combined surgical–functional orthodontic treatment 2.5 years after sustaining a unilateral or bilateral mandibular condylar process fracture. In this cohort, children showed more favorable observed functional results than adults. Unilateral fractures were associated with better functional outcomes than bilateral fractures. Furthermore, midline shift was more common in unilateral fractures and was associated with functional limitations such as occlusal disorders. Conclusions: Both treatment approaches were associated with favorable functional and radiographic outcomes, particularly in children and after unilateral fractures, although these findings should be interpreted as descriptive and hypothesis-generating in light of the limited sample size.
SN  - 2077-0383
ER  -