Management of Pediatric Mandible Fracture

March 22, 2012 | By | Reply More

Management of Pediatric Mandible Fracture

The fracture of the mandible/jaw of mixed dentition is special because there are permanent tooth buds of the patient beneath the deciduous ones. So, special types of precautions are to be taken during fixation. IMF on teeth & transosseous or, miniplate osteosynthesis are contraindicated here. The treatment is tissue borne & done by lateral compression plate.

Construction of lateral compression plate:
a. Anaesthesia & sedation
b. Model preparation & model surgery
c. Alignment of model in its position using sticky wax
d. Preparation of Acrylic base plate for both jaws
e. Trimming of occlusal surface
f. Placement of hooks in both jaw’s plate for IMF

a. The denture is fitted to the lower jaw by circum-mandibular wiring & to the mandible by per-alveolar wiring.
b. IMF is done with hook.

• Immobilization for few weeks
• Antibiotics for preventing infection.
• Gradual mobilization & physiotherapy.

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Category: Dental, Oral Surgery

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