A Case Report of Infantile Mandibular Fracture Treatment with Double-Crossed Skeletal and ...

The mandibular fracture prevalence is relatively less in the pediatric group compared with adults. These fractures treatment is more challenging for oral and maxillofacial surgeons due to the concerns regarding mandible growth and the developing tooth buds. Regarding the articles, nondisplaced pediatric mandibular fractures are better treated by traditional methods of soft diet or closed reduction. There are only limited case reports about mandibular fracture treatment in infants. The authors have introduced a new technique using double-crossed direct skeletal wires reinforcing circummandibular wirings for conservative treatment of an infantile mandibular fracture. Hereby, this new technique was applied for a 12-month infant boy with significant dislocated right mandibular parasymphysis fracture. At first, two circum-mandibular wires passed bilaterally to pull the mandibular segments and also align them vertically. Then the skeletal buccal and lingual direct wires reinforced the previous circum-mandibular wiring to fit the fracture segments. Finally, all the wires were tightened simultaneously to maintain satisfactory bone reduction. Adding these skeletal buccal and lingual direct wires could reinforce the previous circum-mandibular wiring to fit the fracture segments anteroposteriorly. The fracture healed uneventfully without any complication and the intermaxillary fixation was not required in this case. Moreover, the alveolar segments were in the appropriate position, and t...
Source: Journal of Dental Materials and Techniques - Category: Dentistry Source Type: research