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Management of pediatric mandibular fracture: a case series
Ravi M Agarwal1, Ramakrishna Yeluri2, Chanchal Singh3
1Post-Graduate Student, Department of Pedodontics, K D Dental College and Hospital, Mathura, India.
Insights
Pediatric mandibular fractures cause significant distress. Management requires specialized approaches due to the developing anatomy, differing from adult treatments.
Area of Science:
- Pediatric Dentistry
- Oral and Maxillofacial Surgery
- Trauma Management
Background:
- Pediatric mandibular fractures, though infrequent, present unique challenges.
- Anatomical differences in developing jaws necessitate distinct management strategies compared to adults.
- These fractures cause considerable pain and parental anxiety.
Observation:
- The study reviewed 19 cases of pediatric facial fractures.
- Varied treatment modalities were employed for managing mandibular fractures.
- Common treatments included cap splints with wiring, arch bars, and cementation.
Findings:
- The pattern of pediatric mandibular fractures often mirrors adult injuries.
- Management complexity arises from the unique anatomy of a child's growing mandible.
- Diverse treatment options exist, tailored to individual pediatric cases.
Implications:
- Effective management of pediatric mandibular fractures requires specialized knowledge.
- Understanding anatomical variations is crucial for successful treatment outcomes.
- This review highlights the range of therapeutic options available for pediatric dentists.
Abstract:
A pediatric mandibular fracture can cause a child severe pain and the parent or caregiver extreme worry. While the pattern of fractures and associated injuries in children is similar to adults, the incidence is low. Due to a number of factors, including the anatomical complexity of the developing mandible in a child, management of such fractures differs from that of adults and can greatly challenge the pediatric dentist. Various treatment modalities of managing mandibular fracture are available, such as closed/open cap splint with circummandibular wiring, arch-bar fixation, and cementation of the cap splint. This article reviews 19 cases in the management of pediatric facial fracture using varied treatment methods.
