Surgical and Post Management of Non-Condylar Mandibular Fractures in Paediatric Patients with Deciduous, Mixed, and...

To analyze the surgical and postoperative management of paediatric non-condylar mandibular fractures across different dentition stages, while emphasizing the role of a multidisciplinary team involving oral surgery, orthodontics, endodontics, and prosthodontics.

This prospective study involved 30 pediatric patients aged 3-16 years diagnosed with non-condylar mandibular fractures. Patients were grouped into deciduous, mixed, and permanent dentition categories. Each case was managed by a multidisciplinary team. Treatment protocols included surgical reduction and fixation, endodontic treatment for traumatized teeth, orthodontic intervention for space maintenance and alignment, and prosthodontic rehabilitation where tooth loss occurred.

• Oral Surgery: Primary fracture management via closed or open reduction depending on age and fracture displacement. • Endodontics: Vital pulp therapy or apexification was required in 9 cases with dental trauma. • Orthodontics: Provided removable or fixed appliances for growth guidance and space management in 14 cases. • Prosthodontics: Interim prostheses were used for aesthetic and functional rehabilitation in 6 cases. Multidisciplinary collaboration resulted in optimal outcomes, with minimal growth disturbance and restored function and aesthetics.

Managing pediatric mandibular fractures effectively requires integrated care. Involving oral surgery for immediate management, endodontics for pulp vitality, orthodontics for developing occlusion, and prosthodontics for restoring lost structures ensures comprehensive rehabilitation tailored to the child's developmental stage.