A Novel Method to Fix Paediatric Mandibular Fracture using 2-0 Polyglactin Suture: A Technical Note

Area of Science:

• Oral and Maxillofacial Surgery
• Pediatric Dentistry
• Biomaterials Science

Background:

• Early reduction and stabilization of pediatric fractures are crucial for optimal outcomes.
• Conventional plating and wiring methods may pose risks to developing dentition and bone.
• A cost-effective and minimally invasive technique is needed for pediatric mandibular fracture stabilization.

Purpose of the Study:

• To introduce and evaluate a novel, cost-effective technique for stabilizing pediatric mandibular fractures.
• To assess the efficacy of 2-0 resorbable polyglactin 910 sutures in providing adequate fracture stability.
• To determine if this method minimizes trauma to tooth buds and developing jaw structures.

Main Methods:

• A mucoperiosteal flap was raised to access and reduce fracture segments.
• Small holes were drilled through the buccal cortex of the fractured segments.
• A 2-0 resorbable polyglactin 910 suture was passed through the holes using a guide wire for stabilization.
• The flap was closed after securing the suture.

Main Results:

• The technique successfully stabilized pediatric mandibular fractures.
• The use of polyglactin 910 sutures provided adequate stability for callus formation.
• The method demonstrated minimal trauma to tooth buds and bone, preserving growth potential.

Conclusions:

• Resorbable polyglactin 910 sutures offer a novel, cost-effective ($2) alternative to expensive plates ($150) for pediatric mandibular fracture stabilization.
• This technique effectively stabilizes fractures without compromising tooth or jaw growth.
• Polyglactin 910 sutures resorb within 40-60 days, providing sufficient healing time with a half-life tensile strength of 2 weeks.