The conservative treatment of mandibular fracture in a child with circummandibular wiring: case report.
10.5125/jkaoms.2010.36.2.145
- Author:
Hyung Mo KIM
1
;
Tae Wan KIM
;
Seung Il SONG
;
Jeong Keun LEE
Author Information
1. Department of Dentistry, Oral and Maxillofacial Surgery, Ajou University School of Medicine, Suwon, Korea. arcady@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Pediatric mandibular fracture;
Circummandibular wiring
- MeSH:
Adolescent;
Adult;
Ankylosis;
Child;
Health Resorts;
Humans;
Incidence;
Mandible;
Mandibular Fractures;
Maxillofacial Injuries;
Regeneration;
Splints;
Temporomandibular Joint;
Tooth;
Tooth, Unerupted
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2010;36(2):145-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Maxillofacial injuries are less common in children than in adolescents and adults. This lower incidence is a result of the relatively small size of mandible, the resilient nature of the bones, and a relatively protected environment, which distinguish the treatment principles of pediatric mandibular fractures from those of the adult. The bone of child is malleable, so pediatric fractures tend to be less displaced and rarely comminuted. Moreover, high regeneration potential of the wound allows more conservative treatment modalities for the pediatric mandibular fracture. High risk of damaging unerupted tooth bud renders many clinicians to resort to more conservative treatment modality for the reduction of displaced segments. This case report describes two successful treatment cases using the circummandibular wiring which was applicated to the fracture on parasymphysis of mandible. Circummandibular wiring can protect the tooth buds, and there is no need for intermaxillary fixation so that it prevents the possible complications of intermaxillary fixation such as the temporomandibular joint ankylosis and the facial growth disturbances. The acrylic splint was removed after 3 weeks, which showed clinically good union across the fracture line without complications. They showed complete clinical and radiological bone healing with an optimum occlusion.
