Open reduction by vestibular approach in the treatment of segmental alveolar fracture

Fracture of the alveolar process is a common injury; the majority of alveolar fractures may be managed by closed reduction. However, some cases with severe segmental alveolar fracture cannot be reduced by close reduction, usually resulting in occlusion disturbance. This article describes open reduction by vestibular approach in the treatment of severe segmental alveolar fractures, with the aim of evaluating the prognosis. Fifteen patients with severe segmental alveolar fractures that could not be reduced by closed method were included in our case series. Open reduction by vestibular approach was performed on these patients, and the fractures were stabilized with dental arch bars or dental wires. Postoperatively, all patients achieved uneventful healing; consolidation of the fracture was confirmed clinically after 4 weeks. The technique presented is an effective treatment approach proposed for cases of severe segmental alveolar fracture that cannot be managed by closed reduction.