Abstract
Children (below 13 yrs of age) are usually susceptible to cranio facial trauma because of their greater cranial mass to body ratio. When compared to adults, the pattern of fractures and frequency of associated injuries are similar but the overall incidence is much lower. Treatment is usually performed without delay and can be limited to observation or closed reduction in non-displaced or minimally displaced fractures. Operative management should involve minimal manipulation and may be modified by the stage of skeletal and dental development. Open reduction and rigid internal fixation is indicated for severely displaced fractures. When tooth buds within the mandible do not allow internal fixation with plates and screws, this can be achieved with a mandibular compression splint fixed to the teeth, to the mandible with circum-mandibular wire. Children require long-term follow-up to monitor potential growth abnormalities. A case of a 9-year-old boy with fractured body of mandible managed by closed reduction using occlusal acrylic splint and circum mandibular wiring is presented. DOI: http://dx.doi.org/10.3329/updcj.v3i2.18001 Update Dent. Coll. j: 2013; 3 (2): 55-60
Highlights
It is made for the stabilization of mandibularMandibular fractures are relatively less frequent arch
Maintenance of oral hygiene by regular use Several studies have recommended the use of pre-fabricated acrylic splints as a treatment for pediatric mandibular fractures
Compression splint in mandibular fracture Modified orthodontic brackets have been used for maxillomandibular fixation (MMF)[8]
Summary
A guide for stabilization of mandibular arch in case of dentoalveolar fracture of children. AAssistant Professor & Head of the Unit Sher-e-Bangla Medical College, Dental Unit, Barisal bOral & Dental Surgeon, Z & Z Orthodontic & Dental Clinic, Uttara, Dhaka cLecturer, Dept. Of Dental Pharmacoloy Dhaka Dental College, Dhaka. Of Science of Dental Materials Dental Unit Holy Family Red Crescent Medical College Hospital eAssistant Professor Dept. Of Science of Dental Materials Saphena Women’s Dental College Malibagh, Dhaka AAssistant Professor & Head of the Unit Sher-e-Bangla Medical College, Dental Unit, Barisal bOral & Dental Surgeon, Z & Z Orthodontic & Dental Clinic, Uttara, Dhaka cLecturer, Dept. of Dental Pharmacoloy Dhaka Dental College, Dhaka. dAssistant Professor & Head Dept. of Science of Dental Materials Dental Unit Holy Family Red Crescent Medical College Hospital eAssistant Professor Dept. of Science of Dental Materials Saphena Women’s Dental College Malibagh, Dhaka
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