Optimal fixation sequencing in multiple mandibular fractures involving the condyle remains uncertain and inappropriate. Sequence selection may increase the risk of postoperative malocclusion and occlusal instability. An analysis of a retrospective cohort of surgically treated case by occlusal stability (the nature in which the teeth make contact) for operative feasibility and postoperative complications, as well as fixation sequence and fracture pattern was conducted. Multifocal mandibular fractures were complex in clinical practice with condylar fracture detected in 40.6% of the patients. The body related 56.3% and symphysis/parasymphysis 51.0% were the most frequent sites. In the condyle first sequence, less postoperative occlusal discrepancies were observed.
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Kohli et al. (2026) studied this question.
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