Secondary Treatment of Malocclusion/Malunion Secondary to Condylar Fractures.

Careful evaluation of the malocclusion, TMD symptoms, and myofascial pain dysfunction help to guide the practitioner along appropriate treatment modalities. Conservative treatment involving splint therapy, physical therapy, and orthodontic correction and equilibration can be applied to correct minor malocclusions after condylar fractures. Joint symptoms and functional impairment may indicate the need for arthroplasty or total joint replacement. Orthognathic surgery is a beneficial option for the patient with significant malocclusion; the use of virtual surgery allows for presurgical assessment in determining if unilateral versus bilateral mandibular osteotomies are indicated.