Management of Jaw Fractures in Pediatric Patients Using Orthodontic Appliances: A Case Series

Mandibular fractures are common in pediatric patients due to active lifestyles, with the mandible being the most frequently fractured facial bone. In children, fractures are often greenstick, requiring careful management to avoid disrupting growth and dentition. Conventional treatments, such as intermaxillary fixation (IMF) using arch bars, can be challenging in mixed dentition. This case series explores the use of orthodontic appliances as an alternative approach for managing pediatric mandibular fractures.

Three pediatric patients with mandibular fractures were treated using orthodontic appliances for IMF-case 1: a 9-year-old male with a left mandibular angle fracture was treated with stainless steel brackets and elastics for 2 weeks. Follow-up showed full recovery with no pain or occlusal issues. Case 2: a 6-year-old male with bilateral condylar and symphyseal fractures was treated with brackets on all teeth up to the deciduous second molars. After 2 weeks, improved occlusion and mouth opening were noted. Case 3: a 6-year-old female with a right condylar fracture showed improved occlusion and symptom resolution after 2 weeks of treatment.

Orthodontic appliances provide a noninvasive alternative for IMF in pediatric mandibular fractures. They offer stable fixation, preserve developing dentition, and reduce the need for invasive procedures, ensuring proper healing.

Orthodontic appliances are a viable treatment option for pediatric mandibular fractures, especially in mixed dentition. This approach enhances patient comfort, improves oral hygiene, and avoids complications associated with traditional fixation methods, making it an effective tool in pediatric trauma care.

Ratre RK, Newaskar V, Kanesh A, et al. Management of Jaw Fractures in Pediatric Patients Using Orthodontic Appliances: A Case Series. Int J Clin Pediatr Dent 2025;18(8):1018-1022.