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Dentistry · Oral and maxillofacial surgery: bilateral condylar fractures
Sample itemAfter a fall onto the chin, a patient has an anterior open bite with only the molars contacting and a retruded chin. Which injury is the most probable?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Bilateral subcondylar fractures
In bilateral condylar fractures the ramus shortens on both sides and the posterior teeth contact prematurely, leaving an anterior open bite. The chin is retruded.
Option by option
A. Dislocated tongue
A tongue lesion would not cause skeletal malocclusion.
B. Bilateral coronoid fractures
Coronoid fractures do not alter occlusion this way.
C. Maxillary alveolar fracture
A maxillary alveolar fracture does not make the chin retrude.
D. Bilateral subcondylar fractures (correct)
Correct. Bilateral ramus shortening produces an anterior open bite.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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