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Trauma Surgery. J Oral Maxillofac Surg 2023; 81:E147-E194. [PMID: 37833022 DOI: 10.1016/j.joms.2023.06.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2023]
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Hajibandeh J, Peacock ZS. Pediatric Mandible Fractures. Oral Maxillofac Surg Clin North Am 2023; 35:555-562. [PMID: 37517978 DOI: 10.1016/j.coms.2023.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/01/2023]
Abstract
The management of pediatric facial fractures requires several considerations by the treating surgeon. Pediatric facial fractures occur less commonly than in adults. Among fracture patterns in children, studies have repeatedly demonstrated that mandible fractures are the most common facial fracture particularly the condyle. Most fractures in children are amenable to nonsurgical or closed treatment; however, certain indications exist for open treatment. The literature describing epidemiology, treatment trends, and long-term outcomes are limited in comparison with adult populations. The purpose of the article is to review the etiology, workup, and management of mandible fractures in children.
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Affiliation(s)
- Jeffrey Hajibandeh
- Massachusetts General Hospital, Division of Oral & Maxillofacial Surgery, Warren 1201, 55 Fruit Street, Boston, MA 02127, USA.
| | - Zachary S Peacock
- Massachusetts General Hospital, Division of Oral & Maxillofacial Surgery, Warren 1201, 55 Fruit Street, Boston, MA 02127, USA
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Jha S, Singhal R, Goel N, Namdev R. Modified Cap Splint: A Novel Approach to Treating Delayed Mandibular Fracture in Pediatric Patients. Int J Clin Pediatr Dent 2023; 16:645-648. [PMID: 37731795 PMCID: PMC10507306 DOI: 10.5005/jp-journals-10005-2643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/22/2023] Open
Abstract
Mandibular fractures in children, when compared to adults are quite less common. The treatment approaches for mandibular fractures differ in children due to their growth and developing dentition. Minimal manipulation of bony architecture is done to achieve a stable position. Thus a closed reduction is preferred in children. This article presents a case of an 8-year-old boy, mandibular left parasymphysis fracture with displacement of the left dentoalveolar segment which was managed by a novel treatment approach using a unilateral cap splint with interelastic traction. How to cite this article Jha S, Singhal R, Goel N, et al. Modified Cap Splint: A Novel Approach to Treating Delayed Mandibular Fracture in Pediatric Patients. Int J Clin Pediatr Dent 2023;16(4):645-648.
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Affiliation(s)
- Shruti Jha
- Department of Pediatric and Preventive Dentistry, Subharti Dental College & Hospital, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
| | - Ruchi Singhal
- Department of Pedodontics, Postgraduate Institute of Dental Sciences, Rohtak, Haryana, India
| | - Nancy Goel
- Department of Pedodontics, Postgraduate Institute of Dental Sciences, Rohtak, Haryana, India
| | - Ritu Namdev
- Department of Pedodontics, Postgraduate Institute of Dental Sciences, Rohtak, Haryana, India
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Sobrero F, Roccia F, Galetta G, Strada C, Gerbino G. Pediatric mandibular fractures: Surgical management and outcomes in the deciduous, mixed and permanent dentitions. Dent Traumatol 2023; 39:233-239. [PMID: 36606623 DOI: 10.1111/edt.12814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 12/17/2022] [Accepted: 12/18/2022] [Indexed: 01/07/2023]
Abstract
BACKGROUND/AIM Mandibular fractures are the most frequent type of pediatric facial traumatic injury, but their treatment remains controversial. The aim of this retrospective study was to analyze the surgical treatment and long-term outcomes of dentate mandibular fractures in children and adolescents. MATERIAL AND METHODS Patients with mandibular fractures in the dentate area who were surgically treated in the period from January 1, 2001, to December 31, 2020, were included. The following data were collected: age, gender, cause and mechanism of injury, fracture site and type, associated maxillofacial fractures, the timing of surgical treatment, Facial Injury Severity Scale (FISS) score, surgical approach, number and thickness of plates, hospitalization stay and outcome. Patients were divided into three groups: deciduous (≤6 years, group A), mixed (7-12 years, group B), and permanent (13-18 years, group C) dentitions. Statistical analyses were performed using SPSS software. RESULTS During the study 91 patients (male: female ratio, 3.8:1), 4 in group A, 12 in group B, and 75 in group C, with 65 single and 52 double fractures were included. An intraoral approach was used in 87% of patients. In group C, 90% of patients were treated with fixation schemes consistent with those suggested in the literature for adults, versus 75% in groups A and B. Median follow-up time was 20 months. No tooth germ injury or facial asymmetry was observed and only six group C patients had post-operative malocclusions. Hardware removal occurred in 22% of the patients. CONCLUSIONS This 20-year retrospective study shows that open reduction and internal fixation of pediatric dentate mandibular fractures caused no tooth germ damage or disturbances of mandibular growth in any dentition stage. Internal fixation schemes were similar to those used for adults, although it was necessary to adapt hardware size and position according to tooth and patient age.
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Affiliation(s)
- Federica Sobrero
- Division of Maxillofacial Surgery (Head: Prof. G. Ramieri), Surgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy
| | - Fabio Roccia
- Division of Maxillofacial Surgery (Head: Prof. G. Ramieri), Surgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy
| | - Giovanni Galetta
- Division of Maxillofacial Surgery (Head: Prof. G. Ramieri), Surgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy
| | - Carlo Strada
- Division of Maxillofacial Surgery (Head: Prof. G. Ramieri), Surgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy
| | - Giovanni Gerbino
- Division of Maxillofacial Surgery (Head: Prof. G. Ramieri), Surgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy
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Muacevic A, Adler JR, Kalmath B, Vanapalli J, Ali Zaheer M. Management of Pediatric Mandibular Fracture With Acrylic Cap Splint. Cureus 2023; 15:e33324. [PMID: 36751198 PMCID: PMC9897721 DOI: 10.7759/cureus.33324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2023] [Indexed: 01/05/2023] Open
Abstract
Trauma during childhood can have an extreme mental jolt on the minds of growing children. The fundamentals of treatment of jaw fractures vary among children and adults. In children, minimal manipulation of facial skeleton is necessary to rehabilitate the supporting bony framework to pre-trauma condition. The procedure should not only be non-intrusive but also cause minimum malfunction and aesthetic disability. The case report presents the successful management of a seven-year-old boy with mandibular symphysis fracture using an acrylic cap splint retained with circum-mandibular wiring.
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Gaur S, John RS, Hariharan AS. Surgical management of maxillary trauma in pediatric special needs patient using modified cap splint. Natl J Maxillofac Surg 2022; 13:479-483. [PMID: 36683929 PMCID: PMC9851362 DOI: 10.4103/njms.njms_479_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 12/08/2021] [Accepted: 01/30/2022] [Indexed: 01/25/2023] Open
Abstract
Pediatric maxillofacial trauma is a rare entity, which is primarily the reason for an individual surgeon's inexperience in managing such injuries. More so, maxillary injuries are infrequent. Pediatric maxillofacial injuries are usually a result of blunt force trauma such as falls, motor vehicle accidents, bicycle injuries, sports-related injuries, assault, and child abuse. The atypical pattern of facial injuries in the pediatric population necessitates each surgeon to approach individual cases with a unique and innovative technique of management, while still following the basic principles of surgical management of maxillofacial injuries. Since facial trauma and surgical interventions both have the potential to lead to disturbance in growth and development, management should be as conservative as possible. The foundation of any surgical intervention must be developed keeping in perspective, the future growth, and development of dentofacial structures. Pediatric facial trauma management is in itself a disconcerting situation for a maxillofacial surgeon, but when a special needs child is involved it becomes an even more perplex decision. We present a case of maxillary trauma in a pediatric patient with global developmental delay, the treatment dilemma, and a review of current literature.
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Affiliation(s)
- Shivangi Gaur
- Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, Tamil Nadu, India
| | - Rubin S. John
- Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, Tamil Nadu, India
| | - Asha S. Hariharan
- Department of Prosthodontics, Crown and Bridge, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, Tamil Nadu, India
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Madhusudhan KS. Dental Braces as IMF in Pediatric Population or in Children; A Conservative Concept. ENVIRO DENTAL JOURNAL 2022; 4:08-12. [DOI: 10.12944/edj.04.01.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
Mandibular fracture is less common in children. Fracture management is a complex issue in children that needs immediate diagnosis and appropriate treatment to ensure favorable outcome. Intermaxillary fixation (IMF) is an integral part in the management facial bone fractures. Conventional methods have disadvantages, like the risk of transmission of blood-borne diseases, stressful procedures, and mutilation to teeth, tooth buds, and also periodontium. Use of orthodontic bracket and elastics as IMF is an effective and efficient alternative technique in management of mandibular fracture because it removes the disadvantages of standard Intermaxillary fixation and provides a stable occlusal & functional thereafter.
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Affiliation(s)
- Kempaiah Siddaiah Madhusudhan
- 1Department of Pedodontics and Preventive Dentistry, The Oxford Dental College, Hospital and Research Centre, Bommanahalli, Hosur Road Bangalore, Karnataka India
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Lodhi TG, Patil SB, Bahetwar SK, Nimonkar PV, Peter BK, Sharma AB. Management of Fracture Mandible by Open Occlusal Acrylic Splint in Pediatric Patients: A Case Series. Int J Clin Pediatr Dent 2021; 14:812-815. [PMID: 35110876 PMCID: PMC8783219 DOI: 10.5005/jp-journals-10005-2099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Aim and objective The aim of this article is to report the treatment management of fracture mandible in pediatric patients by a simple, noninvasive, and conservative method. Treatment of a pediatric patient with a mandibular fracture is one of the most challenging jobs. In adults, the treatment of the mandibular fracture is a surgical intervention by open reduction and fixation but it is not usual in the case of children due to the anatomy of growing mandible and deciduous teeth, presence of underlying erupting permanent teeth, and incomplete ossification of jawbones. In pediatric patients, the main concern in the treatment of the mandibular fracture is the normal growth and development of mandibular bone. So, in this case series, the treatment of the children who got mandibular fracture were done by a simple, time saving and noninvasive procedure by the fabrication of open occlusal splint retained by circummandibular wiring which did not interfere with the growth and development of mandible. How to cite this article Lodhi T, Patil SB, Bahetwar SK, et al. Management of Fracture Mandible by Open Occlusal Acrylic Splint in Pediatric Patients: A Case Series. Int J Clin Pediatr Dent 2021;14(6):812–815.
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Affiliation(s)
- Tulsi G Lodhi
- Department of Plastic, Reconstructive and Maxillofacial Dentistry, Government Medical College and Hospital, Nagpur, Maharashtra, India
- Tulsi G Lodhi, Department of Plastic, Reconstructive and Maxillofacial Dentistry, Government Medical College and Hospital, Nagpur, Maharashtra, India, Phone: +91 7620619629, e-mail:
| | - Surendrakumar B Patil
- Department of Plastic, Reconstructive and Maxillofacial Dentistry, Government Medical College and Hospital, Nagpur, Maharashtra, India
| | - Surendrakumar K Bahetwar
- Department of Pediatric and Preventive Dentistry, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Pranali V Nimonkar
- Department of Trauma Care Center, Government Medical College and Hospital, Nagpur, Maharashtra, India
| | - Bhumika K Peter
- Department of Orthodontics, Bhaba Dental College and Research Center, Bhopal, Madhya Pradesh, India
| | - Aparna B Sharma
- Department of Plastic, Reconstructive and Maxillofacial Dentistry, Government Medical College and Hospital, Nagpur, Maharashtra, India
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Open Reduction, Internal Fixation, or Maxillo-Mandibular Fixation for Isolated, Unilateral, Tooth-Bearing, Mandibular Body Fractures in Children. J Craniofac Surg 2020; 32:73-77. [PMID: 32897980 DOI: 10.1097/scs.0000000000006990] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Mandibular body fractures can cause severe and long-term morbidity in the pediatric population. Nonetheless, there is insufficient data on the treatment and management of this specific fracture type in children. This study aimed to investigate the etiology, treatment, and outcomes of pediatric mandibular body fractures by analyzing our institution's experience managing these uncommon injuries. METHODS This was a 30-year retrospective, longitudinal cohort study of pediatric patients presenting to a single institution with isolated, unilateral, mandibular body fractures. Patient data was extracted from electronic medical records, while subgroup analysis was completed by dentition stage. RESULTS A total of 14 patients met inclusion criteria, of whom 8 (57.1%) had deciduous, 3 (21.4%) had mixed, and 3 (21.4%) had permanent dentition. Deciduous dentition patients with displaced, mobile or comminuted fractures underwent open reduction and internal fixation (ORIF), while those with nondisplaced and/or nonmobile fractures received soft diet or closed treatment with maxillomandibular fixation. For the mixed dentition cohort, all patients (100%) received closed treatment with maxillomandibular fixation. Among permanent dentition patients, most patients (66.6%) underwent ORIF regardless of fracture severity. The post-ORIF complication rate was 20% (dental maleruption). CONCLUSIONS Isolated, unilateral mandible body fractures are relatively uncommon in the pediatric population, and management differs by dentition stage and injury pattern. While isolated body fractures had considerable associated morbidity, this fracture pattern did not result in major growth restrictions or malformations.
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Comparison of Mechanical Stabilization of the Mandibular Angulus Fracture Fixation, With Titanium Plates and Screws, Resorbable Plates and Screws, and Bone Adhesives. J Craniofac Surg 2018; 29:1780-1787. [DOI: 10.1097/scs.0000000000004866] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Nezam S, Kumar A, Shukla JN, Khan SA. Management of mandibular fracture in pediatric patient. Natl J Maxillofac Surg 2018; 9:106-109. [PMID: 29937672 PMCID: PMC5996639 DOI: 10.4103/njms.njms_54_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
A pediatric mandibular fracture can cause a child severe pain and the parent or caregiver extreme worry. While the pattern of fractures in children is similar to adults, however, due to a number of factors, including the anatomical complexity of the developing mandible, management of such fractures differs from that of adults and can greatly challenge the pediatric dentist. Various treatment modalities of managing mandibular fracture are available, such as closed/open cap splint with circummandibular wiring, arch-bar fixation, and cementation of the cap splint.
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Affiliation(s)
- Sumaiya Nezam
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
| | - Arvind Kumar
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
| | - Jeevendra Nath Shukla
- Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
| | - Shabab Ahmed Khan
- Department of Prosthodontics and Crown and Bridge, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
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Kumar N, Richa, Gauba K. Modified closed cap splint: Conservative method for minimally displaced pediatric mandibular fracture. Saudi Dent J 2017; 30:85-88. [PMID: 30166876 PMCID: PMC6112350 DOI: 10.1016/j.sdentj.2017.11.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2017] [Revised: 10/12/2017] [Accepted: 11/07/2017] [Indexed: 11/13/2022] Open
Abstract
Mandibular fracture in younger children is the most common facial fracture among all the facial fracture in the sequence of condyles followed by symphysis/parasymphysis and body of the mandible. Symphysis/Parasymphysis fracture of mandible can be minimally displaced or severely displaced depending upon the severity of the injury. This case report highlights the simple, reliable method of minimally displaced fracture i.e. modified closed cap splint for stability of the fracture segments in pediatric patients.
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Affiliation(s)
- Neeraj Kumar
- Unit of Pedodontics and Preventive Dentistry, Oral Health Sciences Centre, PGIMER, Chandigarh, India
| | - Richa
- ESIC Dental College and Hospital, Rohini, New Delhi, India
| | - Krishan Gauba
- Oral Health Sciences Centre, PGIMER, Chandigarh, India
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Eva Vacuum-Formed Alternative Splinting of Alveolar Fractures in Primary Dentition: A Case Report. J Clin Pediatr Dent 2017; 41:327-331. [PMID: 28872995 DOI: 10.17796/1053-4628-41.5.327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
UNLABELLED Alveolar fractures treatment includes repositioning of displaced segments and splinting. In children, splinting procedures may occasionally present clinical problems resulting from fewer teeth available for splinting or presence of occlusal disturbances. An alternative clinical approach for splinting in alveolar fractures of primary dentition is described. CLINICAL CASE A 4.5-year-old girl was referred to our clinic 8 hours after a fall accident. Clinical examination revealed mandibular alveolar process segmental fracture in the right canine area with frontal dislodgement of the labial cortical bone resulting to occluding inability. The area was anaesthetized, cleaned and the dislodged bone was manually repositioned, followed by an EVA copolymer splint for fixation as a result of patient's deep bite impeding regular wire-composite splint. The cap splint that was fabricated on a cast made after an alginate impression, was set on the mandibular dentition and immobilized in the primary molars with acid-etch adhesive and flowable resin composite. Following splint removal after 4 weeks and follow-up visits, successful healing was observed clinically and radiographically with no pathological signs and symptoms. CONCLUSION The described alternative splinting method in alveolar fractures of primary dentition is a valuable clinical tool for peediatric dentists, easily accepted by children in cases where regular splinting methods cannot be used.
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Xu Y, Gong SG, Zhu F, Li M, Biao X. Conservative orthodontic fixed appliance management of pediatric mandibular bilateral condylar fracture. Am J Orthod Dentofacial Orthop 2017; 150:181-7. [PMID: 27364219 DOI: 10.1016/j.ajodo.2016.02.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2015] [Revised: 02/01/2015] [Accepted: 02/01/2016] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Management of mandibular condylar fractures is difficult in children with their inherently dynamic and unstable deciduous and mixed dentitions. We present a variation of the conservative fixed orthodontic approach that was used as an adjunct to aid in the reduction of a bilateral condylar fracture in a pediatric patient. METHODS A boy, aged 10 years 9 months, came with clinical signs and symptoms of mandibular fracture after being involved in a motor vehicle accident. A computed tomography scan showed a vertical fracture on the left condylar head, a displaced fracture of the right condylar neck, and a mandibular symphysis fracture. The patient was treated with an orthodontic fixed appliance instead of an arch bar splint, followed by elastic traction to achieve a proper occlusion and condylar remodeling. Follow-up appointments were made 2 weeks and 1, 2, 20, 37, and 49 months after treatment. RESULTS Clinical recovery was observed 2 months after treatment. At the follow-up appointments at 20, 37, and 49 months, jaw function and occlusal relationship remained stable, and no ankylosis was observed. The computed tomography scans showed that the right condyle had remodeled, and the left condyle exhibited a slight curve in the head at 49 months posttreatment. The patient's satisfaction with these treatment results was high. CONCLUSIONS Conservative treatment of a mandibular fracture by fixed orthodontic means is a viable treatment option that is relatively straightforward and cost-effective and has a high level of patient acceptance and comfort.
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Affiliation(s)
- Yanhua Xu
- Professor, Department of Orthodontics, School of Stomatology, Kunming Medical University, Kunming, China
| | - Siew-Ging Gong
- Associate professor, Department of Orthodontics, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
| | - Fangyong Zhu
- Assistant professor, Department of Stomatology, Third Hospital of Wuxi, Wuxi, China
| | - Ming Li
- Professor, Department of Oral and Maxillofacial Surgery, School of Stomatology, Kunming Medical University, Kunming, China
| | - Xu Biao
- Professor and dean, Department of Oral and Maxillofacial Surgery, School of Stomatology, Kunming Medical University, Kunming, China.
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Hegab AF. Re: Minimal invasive treatment using patient-specific template for pediatric mandibular fracture: "wing-splint" by CAD/CAM technology. Br J Oral Maxillofac Surg 2016; 55:338. [PMID: 27591168 DOI: 10.1016/j.bjoms.2016.08.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Accepted: 08/12/2016] [Indexed: 11/25/2022]
Affiliation(s)
- A F Hegab
- Department of Oral & Maxillofacial Surgery, Faculty of Dental Medicine, Al-Azhar University in Cairo, Egypt.
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A Simplified Way for the Stabilization of Pediatric Mandibular Fracture With an Occlusal Splint. J Craniofac Surg 2016; 27:e363-4. [DOI: 10.1097/scs.0000000000002617] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Lee JW, Choi BJ, Nam OH, Kwon YD. Minimal invasive treatment using patient-specific template for mandibular fractures in children: "Wing-splint" by CAD/CAM technology. Br J Oral Maxillofac Surg 2016; 54:1140-1141. [PMID: 27083980 DOI: 10.1016/j.bjoms.2016.03.024] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2015] [Accepted: 03/28/2016] [Indexed: 11/27/2022]
Affiliation(s)
- Jung-Woo Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Byung-Joon Choi
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Ok-Hyung Nam
- Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Yong-Dae Kwon
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyung Hee University, Seoul, Korea.
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A Complex Facial Trauma Case with Multiple Mandibular Fractures and Dentoalveolar Injuries. Case Rep Dent 2015; 2015:301013. [PMID: 26339511 PMCID: PMC4538768 DOI: 10.1155/2015/301013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 07/16/2015] [Indexed: 11/17/2022] Open
Abstract
The principles of management of mandibular fractures differ in children when compared to adults and depend on the specific age-related status of the growing mandible and the developing dentition. This paper presents a case report with a complex facial trauma affecting the mandibular body and condyle region and dentoalveolar complex. Clinical examination revealed soft tissue injuries, limited mouth opening, lateral deviation of the mandible, an avulsed incisor, a subluxated incisor, and a fractured crown. CBCT examination revealed a nondisplaced fracture and an oblique greenstick fracture of the mandibular body and unilateral fracture of the condyle. Closed reduction technique was chosen to manage fractures of the mandible. Favorable healing outcomes on multiple fractures of the mandible throughout the 6-year follow-up period proved the success of the conservative treatment. This case report is important since it presents a variety of pathological sequelae to trauma within one case.
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Sardana D, Gauba K, Goyal A, Jolly SS. Pediatric mandibular fracture: An unusual etiology. PEDIATRIC DENTAL JOURNAL 2014. [DOI: 10.1016/j.pdj.2013.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Goodday RH. Management of Fractures of the Mandibular Body and Symphysis. Oral Maxillofac Surg Clin North Am 2013; 25:601-16. [DOI: 10.1016/j.coms.2013.07.002] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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23
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Management of mandibular fractures in children with a split acrylic splint: a case series. Br J Oral Maxillofac Surg 2012; 50:e93-5. [DOI: 10.1016/j.bjoms.2011.11.003] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2011] [Accepted: 11/03/2011] [Indexed: 11/21/2022]
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Yonezawa H, Yanamoto S, Hoshino T, Yamada SI, Fujiwara T, Umeda M. Management of maxillary alveolar bone fracture and severely intruded maxillary central incisor: report of a case. Dent Traumatol 2012; 29:416-9. [PMID: 22233224 DOI: 10.1111/j.1600-9657.2011.01111.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
An 11-year-old male who injured his maxilla and right maxillary central incisor and lip during a fall was presented to our hospital. His lower lip and upper gingiva were lacerated with swelling and epistaxis, and he had a maxillary alveolar bone fracture and severe intrusion of the right maxillary central incisor, which had penetrated the floor of the nasal cavity with avulsion. Under local anesthesia, we repositioned the incisor and bone segment and fixed them with a titanium micromesh plate and self-tapping screws and splints. The incisor was also treated by root canal 3 days after the operation and was restored with a crown. We performed root canal filling 1 month later. Five months later, the plate and screws were removed. In prognosis of our case, no symptoms of inflammatory root resorption or ankylosis have observed for more than 1 year and 6 months of follow up based on both clinical and radiographic findings.
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Affiliation(s)
- Hisanobu Yonezawa
- Department of Oral and Maxillofacial Surgery, Unit of Translational Medicine, Course of Medical and Dental Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki Department of Pediatric Dentistry, Unit of Translational Medicine, Course of Medical and Dental Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
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John B, John RR, Stalin A, Elango I. Management of mandibular body fractures in pediatric patients: a case report with review of literature. Contemp Clin Dent 2011; 1:291-6. [PMID: 22114443 PMCID: PMC3220159 DOI: 10.4103/0976-237x.76406] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Mandibular fractures are relatively less frequent in children when compared to adults, which may be due to the child's protected anatomic features and infrequent exposure of children to alcohol related traffic accidents. Treatment principles of mandibular fractures differ from that of adults due to concerns regarding mandibular growth and development of dentition. A case of a 4.5-year-old boy with fractured body of mandible managed by closed reduction using open occlusal acrylic splint and circum mandibular wiring is presented. This article also provides a review of literature regarding the management of mandibular body fracture in young children.
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Affiliation(s)
- Baby John
- Department of Pediatric and Preventive Dentistry, KSR College of Dental Sciences and Research Institute, Trichengode, India.
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Kale TP, Urologin SB, Kapoor A, Lingaraj JB, Kotrashetti SM. Open cap splint with circummandibular wiring for management of pediatric mandibular parasymphysis/symphysis fracture as a definitive treatment modality; a case series. Dent Traumatol 2011; 29:410-5. [DOI: 10.1111/j.1600-9657.2011.01082.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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CROOMA, complication rates of operatively treated mandibular fractures, paramedian and body. ACTA ACUST UNITED AC 2011; 111:449-54. [DOI: 10.1016/j.tripleo.2010.06.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2010] [Revised: 06/05/2010] [Accepted: 06/16/2010] [Indexed: 11/23/2022]
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Akin A, Uysal S, Cehreli ZC. Segmental alveolar process fracture involving primary incisors: treatment and 24-month follow up. Dent Traumatol 2010; 27:63-6. [DOI: 10.1111/j.1600-9657.2010.00953.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Current world literature. Curr Opin Endocrinol Diabetes Obes 2010; 17:568-80. [PMID: 21030841 DOI: 10.1097/med.0b013e328341311d] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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