Volume 8 Issue 1 (January – February, 2022)

Case Reports

MANAGEMENT OF MANDIBULAR FRACTURE IN A 2 YEAR OLD PATIENT: A CASE REPORT
Dr. Anukirat Kaur Dev, Dr. Bharat Suneja , Dr Sumit Bansal, Dr. Rashi Bahl, Dr. Sunaina Jodhka, Dr. Simar Batra, Dr Avneet kaur

Background: Various treatment modalities of managing mandibular fractures are available, such as intermaxillary fixation with arch bars, eyelet wiring, Open reduction and internal fixation, Open reduction and osteosynthesis with titanium plates and screws, Open reduction and resorbable osteosynthesis plates and cap splints. Not all treatments are suitable for a very young child. Several studies have recommended the use of prefabricated acrylic splints as a treatment for pediatric mandibular fractures. Objective: The purpose of this paper is to provide an insight on management of mandibular symphysis and condylar fractures in a very young patient by means of a case report. Method: A 2 year old patient was referred to the department of Pediatric dentistry with a history of fall from a building 4 days back. On clinical and radiographic examination the patient was found to have a marked step deformity wrt the symphyseal region and a displaced condylar fracture with medially displaced condylar head on the right side and undisplaced condylar fracture on the left side. Impressions of the patient were made during the first visit under sedation and an open cap splint was fabricated. Cap splint placement with circum mandibular wiring was done under GA in the next visit. The management of condylar fracture was done conservatively. Results: In the 6 months follow-up, this minimally invasive treatment of using cap splint had proven quite effective, restoring masticatory function and allowing a satisfactory mouth opening (31mm).

 
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