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Digital Surgical Management of Traumatic Occlusal Disorder: A Case Report

Year: 2026

Type: article

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.

Source: Case Reports in Dentistry

DOI: 10.1155/crid/9103011

Authors: Yuwei Liang, Qian Jiang, Junhui Ma, Yewei Xin, Feng Qiu

Institutions: Guilin Medical University, First Affiliated Hospital of Zhengzhou University

Language: English

Topic: Facial Trauma and Fracture Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $870