Fracture of medial pole of right condyle and symphysis of mandible in a 6-year-old male: A conservative approach

Shunmugavelu, Karthik; Subramaniam, Kumaravel

doi:10.4103/1858-5000.202356

Cited by 1 publication

(3 citation statements)

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“…We believe that choice of ORIF should always be recommended to treat children younger than 6 years of age. With this system of fixing, we obtained the same success reported by the other authors 8 . This method provides better stability of fractured fragments, primary bone healing, the low infection rate and possibility to avoid MMF 11 .…”

Section: Discussionsupporting

confidence: 85%

“…Anatomic reduction in children should be accomplished earlier and immobilization time should be shorter ie. 2˗3 weeks as compared to 4˗6 weeks in adults 7,8 . Although there is no clear consensus about optimal method for fixation of mandible parasymphysis fractures, the most effective and the less invasive method is the best one.…”

Section: Discussionmentioning

confidence: 94%

“…There is a great possibility, as Bos et al 13 reported, that metal implants may cause stress shielding with local osteoporosis after later removal. Certainly, ORIF could have a negative effect on skeletal growth and unerupted teeth because there is a need of plate removal after complete healing 2,3,8,12 . Hogg and Horswell 14 has not seen any growth disturbances caused by miniplate osteosynthesis when they remove it after a period of 6 months.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric mandibular fracture therapy: A case report

Tušek

Ilic²,

Tusek

et al. 2020

VOJNOSANIT PREGL

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Introduction. Frequency of pediatric mandibular fractures is relatively uncommon. Apart from rare exceptions, there is minimal invasive access in the treatment of those injuries in order to avoid the future developmental disorders. Case report. During the game with a colt, a 6-year-old boy was kicked by hoof in the chin. The child did not lose consciousness and did not experience nausea or vomiting. According to clinical examination and radiological analysis, diagnosis was assigned as dislocated mandibular fracture in the parasymphysis part of the jaw and luxation injury of teeth 31 and 72. The surgical treatment under general anesthesia encompassed reduction and bimanual manipulation of bone fragments up to the optimal restoration of the dental occlusion, along with osteosynthesis with titanium miniplates. Luxated deciduous tooth 72 at the fracture line was extracted and luxated permanent tooth 31 was fixed to tooth 41 with wire. The patient was given antibiotic therapy. Additional immobilization of the luxated tooth 31 and mandibular fracture was performed after surgery by composite resin splint. During five-month follow-up period there were no signs of pathological movements in the fracture line, no luxation of tooth 31 and no restriction in mouth opening. Conclusion. Osteosynthesis with miniplates is adequate and very efficient treatment method in dislocated mandibular fracture that is recommended in children with both deciduous and mixed dentition. It is necessary to remove miniplates after fracture consolidation.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 94%