Mandibular fractures are the most common type of facial skeletal injury in children. In descending order, the most common is the condylar region then angle, and thirdly body fractures. Most of the fractures are greenstick type in children, because of the presence of permanent tooth buds which hold the fractured mandibular fragments like glue. Hence, conservative management is preferred and the fractures heal well and rapidly in children. The condylar neck in children being short and thick helps to resist the fracture, making most of them the nondisplaced type of fractures. The purpose of this case report is to present a conservative and effective treatment technique for pediatric mandibular fractures using a customized acrylic cap splint. This method has many advantages like simplicity of design, ease of fabrication, and reliability. This method takes care of anatomical, physiological, and psychological aspects as well as the complexity of developing jaws in children. Keywords: Children; Closed Fracture Reduction; Mandibular Fracture; Splint

Central giant cell granuloma (CGCG) is an uncommon, benign, idiopathic, osteolytic lesion of jaws, histologically characterized by multinucleated giant cells distributed in fibrovascular connective tissue stroma. Accurate diagnosis of the lesion is essential for the successful management and the prognosis of this locally destructive lesion. In this paper, a rare case of large destructive CGCG involving anterior region of mandible, causing expansion of labial cortical plate and mobility of teeth in a nine-year girl is presented. It was treated successfully by enucleation and curettage with satisfactory preservation of the continuity of mandible. Nine months post operatively, the child was rehabilitated with a temporary partial denture to improve esthetics, phonetics and function. One year clinical and radiographic follow up showed new bone formation and no evidence of recurrence.