Clinical and Radiographic assessment of Dental Occlusion after Surgical Management of Maxillary and/or Mandibular Fractures

Hassan, Ahmed Taha Sayed; Farid, Mohammed Mahmoud; Abdelhamid, Abubakr Mohamed Fouad; Abomandour, Mahmoud Mohamed; Ahmed, Mohammed Fathy Mohammed

doi:10.21608/aimj.2025.446537

Clinical and Radiographic assessment of Dental Occlusion after Surgical Management of Maxillary and/or Mandibular Fractures

Document Type : Original Article

Authors

¹ Plastic Surgery and Burn, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

² Orthodontics, Faculty of Dental Medicine for Boys, Al-Azhar University, Cairo, Egypt

³ Radiology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446537

Abstract

Background: Maxillofacial injuries affect a significant proportion of traumatic patients, either isolated or associated with other serious injuries.
Aim: This study aimed to evaluate the clinical and radiological outcomes of dental occlusion using three-dimensional (3D) CT after surgical management of maxillary and/or mandibular fractures.
Patients and methods: This study was a randomized, prospective study conducted on 30 patients at Al-Azhar University Hospitals, specifically AL-Hussein and AL-Sayed Galal hospitals, from December 2023 to December 2024 by staff of Al- Azhar university.
Results: Out of the 30 patients, preoperative the majority had Class I occlusion (90.0%), followed by Class II (6.7%) and Class III (3.3%) which improved postoperative; all patients had class I occlusion. the most frequent bite type was normal (46.7%), followed by anterior open bite with cross bite (26.6%). Other types included cross bite alone (6.7%), anterior open bite alone (10.0%), and posterior open bite (3.3%), which improved significantly postoperatively. Twenty-nine patients (96.67%) had a normal bite postoperatively, while one patient (3.33%) had an anterior open bite. The mean preoperative maximum mouth opening was 29.07 mm, which increased significantly to 32.37 mm early postoperatively and further to 37.93 mm late postoperatively. Paired sample t-tests confirmed significant improvements in mouth opening from preoperative to early (mean increase of 3.300 mm, p = 0.037) and late postoperative periods (mean increase of 8.867 mm, p < 0.001).
Conclusion: Clinical and radiographic assessment of dental occlusion using three dimensional (3D) CT after surgical intervention in patients with Mandibular and/or maxillary fractures serving as a critical predictor of long-term functional success. The study highlights the importance of optimizing early postoperative care to enhance overall outcomes.

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