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The lingual splint: an often forgotten method for fixating pediatric mandibular fractures
Abdulaziz Binahmed1, Claudio Sansalone, Justin Garbedian
1Pediatric Oral and Maxillofacial Surgery, The Hospital for Sick Children, University of Toronto, Toronto ON, Canada.
Journal (Canadian Dental Association)
|August 4, 2007
Summary
Maxillofacial fractures in children are rare and require unique treatment. A lingual splint offers a reliable, noninvasive method for mandibular fracture fixation in pediatric patients, reducing discomfort.
Area of Science:
- Pediatric dentistry
- Oral and maxillofacial surgery
- Traumatology
Background:
- Maxillofacial fractures are infrequent in pediatric patients.
- Children's unique psychological, physiological, developmental, and anatomical characteristics necessitate specialized treatment approaches.
- Traditional treatments like maxillomandibular fixation or open reduction may cause significant discomfort and morbidity.
Observation:
- A case study involving a pediatric patient with a mandibular body fracture.
- Treatment was administered in an outpatient dental clinic setting.
- A lingual splint was utilized for fracture reduction, stabilization, and fixation.
Findings:
- The lingual splint technique proved to be a reliable and noninvasive method for managing the pediatric mandibular fracture.
- This approach successfully reduced, stabilized, and fixed the fracture.
- The treatment successfully limited patient discomfort and morbidity.
Implications:
- Dentists can consider lingual splinting as a viable, noninvasive option for selected pediatric maxillofacial fractures.
- Referral to an oral and maxillofacial surgeon is recommended for optimal case selection and management.
- This technique offers a less invasive alternative to traditional fixation methods in pediatric patients.
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