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Peer-reviewedCC BYCase reports in dentistry

Digital Surgical Management of Traumatic Occlusal Disorder: A Case Report.

  1. 1Guilin Medical University Guilin Guangxi China glmc.edu.cn.
  2. 2Affiliated Stomatological Hospital of Guilin Medical University Guilin Guangxi China.
  3. 3The First Affiliated Hospital of Zhengzhou University Zhengzhou Henan China zzu.edu.cn.

Abstract

Background

Traumatic occlusal disorders secondary to complex mandibular fractures, particularly those involving the condylar region, present a dual challenge: achieving anatomical reduction while restoring physiological function. Conventional surgical approaches are constrained by limited access, soft tissue swelling, and the inherent difficulty of occlusal reconstruction.Case presentation

A 33-year-old male presented with an anterior open bite 3 days after maxillofacial trauma. Clinical examination revealed limited mouth opening with preserved facial symmetry. Computed tomography confirmed a sagittal fracture of the right mandibular premolar region and a displaced left condylar neck fracture. A comprehensive digital surgical workflow was deployed, integrating virtual surgical planning, 3D-printed occlusal splint fabrication, and intraoperative guided fracture fixation. Postoperative outcomes demonstrated stable occlusal contact, anatomical condylar reduction, and satisfactory functional recovery.Conclusion

The integration of digital surgical techniques enables precise, function-oriented reconstruction in complex mandibular fractures. This approach aligns with the concept of "physiological reduction" and provides a reproducible strategy for managing traumatic occlusal disorders.

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BibTeX
@article{liang2026digital,
  title = {{Digital Surgical Management of Traumatic Occlusal Disorder: A Case Report.}},
  author = {Yuwei Liang and Qian Jiang and Junhui Ma and Yewei Xin and Feng Qiu},
  journal = {Case reports in dentistry},
  year = {2026},
  month = oct,
  doi = {10.1155/crid/9103011},
  url = {https://europepmc.org/article/MED/42910153},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Digital Surgical Management of Traumatic Occlusal Disorder: A Case Report.
AU  - Yuwei Liang
AU  - Qian Jiang
AU  - Junhui Ma
AU  - Yewei Xin
AU  - Feng Qiu
PY  - 2026
DA  - 2026/10/21
JO  - Case reports in dentistry
DO  - 10.1155/crid/9103011
UR  - https://europepmc.org/article/MED/42910153
AB  - Background  Traumatic occlusal disorders secondary to complex mandibular fractures, particularly those involving the condylar region, present a dual challenge: achieving anatomical reduction while restoring physiological function. Conventional surgical approaches are constrained by limited access, soft tissue swelling, and the inherent difficulty of occlusal reconstruction.Case presentation  A 33-year-old male presented with an anterior open bite 3 days after maxillofacial trauma. Clinical examination revealed limited mouth opening with preserved facial symmetry. Computed tomography confirmed a sagittal fracture of the right mandibular premolar region and a displaced left condylar neck fracture. A comprehensive digital surgical workflow was deployed, integrating virtual surgical planning, 3D-printed occlusal splint fabrication, and intraoperative guided fracture fixation. Postoperative outcomes demonstrated stable occlusal contact, anatomical condylar reduction, and satisfactory functional recovery.Conclusion  The integration of digital surgical techniques enables precise, function-oriented reconstruction in complex mandibular fractures. This approach aligns with the concept of "physiological reduction" and provides a reproducible strategy for managing traumatic occlusal disorders.
SN  - 2090-6447
SN  - 2090-6455
ER  -