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