Abstract
Facial injuries associated with falls, motor vehicle accidents, sports related trauma, and inter personal violence can result in fractures of the symphysis and parasymphyseal region. The current standard of care for these injuries is open reduction and internal fixation with an internal device. The devices most commonly used are place on the buccal surface of the symphysis and parasymphysis and can, if improperly placed, cause displacement along the lingual cortical fracture line. It is not an uncommon clinical observation that this “diastema” of the lingual cortex can have a magnified effect resulting in lateral displacement of the mandibular condyles out of the glenoid fossa.
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