Jaw Growth Research Articles

Application of the twin-block appliance combined with braces in the treatment of a patient with distal occlusion

Relevance. Distal occlusion is one of the most frequently encountered anomalies in orthodontic practice among patients with both temporary and permanent dentitions. When selecting a treatment method for this anomaly, it is crucial to consider several significant factors, including the craniofacial stage of skeletal maturity and the type of jaw growth. Special attention should be given to the method of treating patients with incomplete skeletal growth using a twin-block appliance, followed by continued orthodontic treatment with fixed orthodontic appliances (braces).Clinical case description. This article presents a clinical case of treating a patient with distal occlusion in the peripubertal stage of skeletal growth, which is the most optimal for the initial stage of orthodontic treatment.Conclusion. Sequential treatment of distal occlusion during the pubertal growth spurt using a twin-block appliance and braces allows achieving the most physiological jaw relationship, ensuring proper functioning of the dentoalveolar system and harmonious development of the body as a whole.

3D atlas of the human fetal chondrocranium in the middle trimester

The chondrocranium provides the key initial support for the fetal brain, jaws and cranial sensory organs in all vertebrates. The patterns of shaping and growth of the chondrocranium set up species-specific development of the entire craniofacial complex. The 3D development of chondrocranium have been studied primarily in animal model organisms, such as mice or zebrafish. In comparison, very little is known about the full 3D human chondrocranium, except from drawings made by anatomists many decades ago. The knowledge of human-specific aspects of chondrocranial development are essential for understanding congenital craniofacial defects and human evolution. Here advanced microCT scanning was used that includes contrast enhancement to generate the first 3D atlas of the human fetal chondrocranium during the middle trimester (13 to 19 weeks). In addition, since cartilage and bone are both visible with the techniques used, the endochondral ossification of cranial base was mapped since this region is so critical for brain and jaw growth. The human 3D models are published as a scientific resource for human development.

The Effect of Low-Intensity Pulsed Ultrasound on Temporomandibular Joint Arthritis in Juvenile Rats.

Juvenile idiopathic arthritis is an inflammatory disease that can affect the temporomandibular joint (TMJ) and lower jaw growth. Better treatment options are needed, so this study investigated the effect of low-intensity pulsed ultrasound (LIPUS) on TMJ arthritis. Seventy-two 3-week-old male Wistar rats were invivo microcomputed tomography (micro-CT) scanned and divided into eight groups (n = 9). These groups were Group 1-TMJ arthritis and immediate LIPUS treatment (20 min/day, 4 weeks); Group 2-immediate LIPUS treatment and no TMJ arthritis; Group 3-TMJ arthritis and no LIPUS; Group 4-no TMJ arthritis and no LIPUS; Group 5-TMJ arthritis and LIPUS treatment with a delayed start by 4 weeks; Group 6-Delayed LIPUS and no TMJ arthritis; Group 7-TMJ arthritis and no (delayed) LIPUS; and Group 8-no TMJ arthritis and no (delayed) LIPUS. Ex vivo micro-CT scanning was completed, and samples were prepared for tissue analysis. Synovitis was observed in the TMJ arthritis (collagen-induced arthritis [CIA]) groups, but the severity appeared greater in the groups without LIPUS treatment. Fibrocartilage and hypertrophic cell layer thicknesses in the CIA group without LIPUS treatment were significantly greater (p < 0.05). Proteoglycan staining appeared greater in the LIPUS groups. Immediate LIPUS treatment increased the expression of type II collagen, type X collagen, and transforming growth factor-beta 1 (TGF-β1) immunostaining, and CIA (no LIPUS) increased MMP-13, vascular endothelial growth factor, and interleukin-1 beta (IL-1β) immunostaining. LIPUS treatment prevented growth disturbances observed in the CIA groups (no LIPUS) (p < 0.005). Our results have contributed to the understanding of the uses and limitations of the CIA juvenile rat model and have demonstrated the effects of LIPUS on the TMJ and mandibular growth. This information will help in designing future studies for investigating LIPUS and TMJ arthritis, leading to the development of new treatment options for children with juvenile arthritis in their TMJs.

Mandibular distraction osteogenesis in children with Pierre Robin sequence: long-term analysis of teeth and jaw growth

Treatment of children with Pierre Robin sequence (PRS) having a hypoplastic mandible and upper airway distress after birth may consist of external distraction devices. Shape anomalies of the permanent molars and positional changes due to surgery have been documented. The aim of this study is to compare the long-term effects (>5 years) on the growth pattern of PRS-patients treated with an external mandibular distraction device with no-surgery cases and to investigate the dental development or damage. A retrospective cohort study was performed. PRS-patients with and without surgery were included. A digital cephalometric analysis was made to evaluate the growth pattern of the mandible between groups as well as with normal values. Nine of 19 patients underwent an external mandibular distraction. All children were extubated after 4-5 days with no signs of respiratory distress. Screw and device loosening presented in one patient. The articular and sellar angles were significantly larger and smaller, respectively, in the Surgery group. Mandibular distraction surgery might result in a ‘growth boost’ compared to the No-surgery group. No significant difference in dental development was found. Mandibular distraction osteogenesis is an effective way of relieving severe upper airway obstruction.

Retrospective comparative evaluation of airway management with different techniques of fiberoptic intubation in patients undergoing surgery for temporomandibular joint ankylosis

Background: Temporomandibular fusion has devastating effects on the growth and development of an individual's jaws. Thus, surgical modality is seen as a last resort to its correction. Surgical management of temporomandibular ankylosis cases presents significant challenges to an anesthetist in maintaining airway patency. Thus, this retrospective study evaluated the techniques for combating airway management challenges, emphasizing developing an institutional protocol that effectively minimizes errors. Methods: This retrospective study was conducted in the RUHS College of Dental Sciences and attached to the RUHS College of Medical Sciences, Jaipur, Rajasthan, India, for a period of three years. The records of 94 patients who had undergone surgical correction of TMJ ankylosis and were intubated with fiberoptic intubation were compiled. The cases were divided into groups, Group General anesthesia (GA) and Group Regional anesthesia (RA), and analyzed for demographics, successful intubation, and complications. Results: In Group GA, 98 % of cases were successfully intubated. Patient movements were 0 in Group GA and 25% in Group RA. Coughing was present in 1.61% of cases of group GA and 98.38% of Group RA. Epistaxis occurred in 35% of cases, and 29% of cases suffered from sore throat after extubation in Group GA. Conclusion: The anesthetist dilemma of intubating awake or anesthetized always exists. However, a careful preoperative evaluation and assessment of the patient for mask ventilation helps in the successful anesthetic management of temporomandibular joint ankylosis cases. For the anticipated difficult airway awake, fiberoptic intubation is still the ‘gold standard’ technique.

Relationship between Nutrition and Development of the Jaws in Children: A Pilot Study.

Craniofacial growth and development have been shown to be influenced by various environmental factors that impact child development. This study aims to analyze the different patterns of feeding during early childhood, starting from birth, and assess the variability of nutrition during the first stage of childhood, along with the habits developed, to study their impact on jaw development. The study was conducted on a sample of twenty-five patients aged 3 to 5, following approval from the ethics committee of the Catholic University of Valencia. Informed consent was obtained from the fathers, mothers, and/or legal guardians, who were administered surveys on habits and diet. Cephalometric measurements within the parameters of ideal occlusion were subsequently taken. While previous studies examined this subject, the findings are challenging to evaluate. However, this study identified significant associations (p = 0.001) between clinical measurements and children's eating habits. The growth and development of the craniofacial cavity are influenced by multiple factors, including a child's diet and habits. Nonetheless, further research is required to determine whether diet can be considered a determining factor in proper jaw growth.

Management of Post-traumatic Dental Immature Teeth at the Growing Phase

Background: Anterior dental trauma is common in children. Traumatic dental injury in children's teeth can interfere with the function of speech, mastication, aesthetics, eruption of permanent teeth, and the growth and development of teeth and jaws. An unclosed and wide-open apex (immature tooth) is a complex case for a pediatric dentist due to multiple stages of treatment and different options compared to adults. Objective: To explain the management of post-traumatic dental immature teeth. Case: An eight-year-old male child came to the clinic one month after getting a dental injury. This case is classified into Class IV Ellis and Davey's traumatic dental injury classification with immature teeth. Case Management Apexification uses Ca(OH)2 paste followed by an acrylic provisoris restoration while the jaw grows. Conclusion: Apexification using Ca(OH)2 paste followed by acrylic provisions crown restoration is a proper treatment in this case.

ВОЗМОЖНОСТИ РАННЕГО ЛЕЧЕНИЯ ДЕТЕЙ БРЕКЕТАМИ

Early orthodontic treatment with braces is an orthodontic treatment using partial brace system in the first phase of mixed dentition (8-9 years). The problem of early treatment with braces in children remains open: some doctors are sure that braces can be used only after all premolars and second molars have erupted. However, the active growth of the dental system in adolescents is almost complete by this time, so it is necessary to wisely harness the potential for jaw growth and not miss an important moment in the formation of the dental system. The goal of early orthodontic treatment is to prevent or minimize skeletal, dentoalveolar and muscular disorders in the dentofacial region by the end of the transitional period.

Demonstration of the effectiveness of the bionator as a functional appliance used for the treatment of class II malocclusion

Angle class II malocclusion is a condition in which the upper teeth are positioned in front of the lower teeth, usually due to abnormal growth of the lower jaw in relation to the upper jaw, or due to a receding of the lower teeth. . The use of Bionator is one of the many orthopedic devices that are used today for the correction of class II, division I, presents alterations in the jaw, teeth and muscles. This research aims to highlight the effectiveness of the bionator as a functional device widely used for the treatment of class II malocclusion, through the presentation of a clinical case. A minimal control experimental study was carried out to determine the possible morphological changes in a patient with Angle Class II division 1 with the use of the Bionator, in a period of 12 months. An observational, descriptive and retrospective study was carried out. The use of the Bionator proved to be a favorable alternative for the correction of the patient's overbite and profile. Success is directly related to the patient's collaboration, not requiring correction with fixed appliances in this case. There was an improvement in the patient's facial profile and a pleasant aesthetic smile at the end of the treatment. Based on this result, the use of functional orthopedic devices is recommended in the treatment of class II division 1 malocclusions based on an adequate diagnosis, correct selection of the orthopedic device and excellent patient collaboration

Growth assessment among northern Nigerian children using the middle phalanx of the third finger and its correlation with mandibular canine calcification.

BACKGROUND: Assessment of growth especially skeletal maturation, is considered vital in the treatment planning of orthodontic patients that require jaw modification. Appropriate treatment timing for jaw growth modification will determine the outcome of such intervention especially when clinicians take advantage of the pubertal growth spurt. The need for a quick, reliable and cost effective method using the mandibular canine calcification stages will be of immerse help to the orthodontist. AIMS:To determine the level of association between mandibular canine calcification stages and skeletal maturation stages.MATERIALS AND METHODS: It was a prospective cross-sectional descriptive study comprising 74 participants (5-17 years). Skeletal maturation was evaluated using the middle phalanx of the third finger (MP3), and the Demirjian method was used to stage the mandibular canine calcification stages (MCCS). The chi-square test of association and Spearman Spearman’s correlation coefficient were used to test the association and correlation between MP3 and the MCCS, respectively. The level of statistical significance was set at p&lt;0.05.RESULTS: Overall, there was a statistically significant association between MP3-skeletal maturation and the MCCS (male r=0.836 p value&lt;0.001; female r=0.824 p value&lt;0.001). The stage of acceleration of pubertal growth spurt (MP3-FG) was more associated with MCCS-G for both males and females. The peak pubertal growth spurt (MP3-G) was more associated with MCCS-H for males and MCCS-G for females. CONCLUSION: There was gender variation between the association of the period of peak pubertal growth (MP3-G) and the mandibular canine calcification stage. However, There was a significant correlation between the MP3 developmental stages and MCCS.

Anterior Open Bite Malocclusion: From Clinical Treatment Strategies towards the Dissection of the Genetic Bases of the Disease Using Human and Collaborative Cross Mice Cohorts.

Anterior open bite malocclusion is a complex dental condition characterized by a lack of contact or overlap between the upper and lower front teeth. It can lead to difficulties with speech, chewing, and biting. Its etiology is multifactorial, involving a combination of genetic, environmental, and developmental factors. Genetic studies have identified specific genes and signaling pathways involved in jaw growth, tooth eruption, and dental occlusion that may contribute to open bite development. Understanding the genetic and epigenetic factors contributing to skeletal open bite is crucial for developing effective prevention and treatment strategies. A thorough manual search was undertaken along with searches on PubMed, Scopus, Science Direct, and Web of Science for relevant studies published before June 2022. RCTs (clinical trials) and subsequent observational studies comprised the included studies. Orthodontic treatment is the primary approach for managing open bites, often involving braces, clear aligners, or other orthodontic appliances. In addition to orthodontic interventions, adjuvant therapies such as speech therapy and/or physiotherapy may be necessary. In some cases, surgical interventions may be necessary to correct underlying skeletal issues. Advancements in technology, such as 3D printing and computer-assisted design and manufacturing, have improved treatment precision and efficiency. Genetic research using animal models, such as the Collaborative Cross mouse population, offers insights into the genetic components of open bite and potential therapeutic targets. Identifying the underlying genetic factors and understanding their mechanisms can lead to the development of more precise treatments and preventive strategies for open bite. Here, we propose to perform human research using mouse models to generate debatable results. We anticipate that a genome-wide association study (GWAS) search for significant genes and their modifiers, an epigenetics-wide association study (EWAS), RNA-seq analysis, the integration of GWAS and expression-quantitative trait loci (eQTL), and micro-, small-, and long noncoding RNA analysis in tissues associated with open bite in humans and mice will uncover novel genes and genetic factors influencing this phenotype.

Orthodontics For Children

Orthodontics for children is a specialized branch of dentistry that focuses on the treatment of dental and jaw abnormalities in young patients. It is essential to address dental issues early in life to ensure proper jaw growth and tooth alignment. By using braces, retainers, and other devices, orthodontists can guide the development of a child's teeth and jaws, ensuring a healthy and functional smile for years to come

Lower canine traction with jaw functional orthopedics. case report

The treatment of impacted teeth requires an interdisciplinary approach, in which early diagnosis avoids later complications. The frequency of canine retention, especially of the lower canines, has a 0.22 % average in the general population. Case information: A 9.1-year-old patient presented Lepto/Lepto, Lepto; distocclusion due to retrognathism and maxillary protrusion with left condylar asymmetry and preferential chewing on the right side. The patient also presented a structural open bite (Lower Go 78°) hyper-divergence level 4; severe crowding with complete lack of space for tooth 33, and alteration of the eruption corridor of tooth 43. Objective: Stimulate jaw growth to correct distocclusion, stimulate transversal development to gain space and eliminate crowding, and exercise traction on the lower right canine to position it correctly and correct asymmetry. Methods: A series of functional orthopedics devices were used. A Standard Bimler during the first 6 months, subsequently, Simões Network 1 (SN1) to conquer space and initiate traction, followed by the use of an SN11 to correct asymmetry with contra attachment for de-rotation and a lingual S spring. Results: It was possible to obtain incisive contact and align the anteroinferior segment, full space was obtained for tooth 33. Traction of tooth 43 was achieved and thus asymmetry was controlled. Conclusions: Functional orthopedic techniques are an effective form of dental traction that favors treatment from different perspectives. On one hand, it allows to gain space to eliminate crowding. On the other hand, it does not affect neighboring or antagonist teeth because the anchorage is not on the teeth, and it is not necessary to place intraosseous mini-implants. Also, an adequate surgical and functional orthopedic procedure makes it possible to traction the impacted teeth, orienting them to erupt and occupy the correct position in the dental arch.

Comparative Evaluation of the Relationship Between Airway Inadequacy, Head Posture, and Craniofacial Morphology in Mouth-Breathing and Nasal-Breathing Patients: A Cephalometric Observational Study.

The process of respiration is the primary factor of the posture of the jaws and tongue. Thus, a changed respiratory form like mouth breathing can change the posture of the head, jaw, and tongue. This, in turn, could change the equilibrium of pressure on the jaws and teeth thus affecting jaw growth and teeth positions. The influence of nasorespiratory function on craniofacial growth has stimulated interest and debate for more than a century. Mouth breathing is the reason for numerous orthodontic glitches such as a mouth breather's face evolving aberrantly because of of functional disruptions triggered by chronic airway obstruction. The relationship between nasorespiratory function and dentofacial development remains controversial despite the long-standing clinical concern of orthodontists, so there was a need to evaluate and compare the relationship between head posture, airway inadequacy, and craniofacial morphology in mouth breathers and nasal breathers. Forty patients were selected and divided equally into two groups: mouth breathers and nasal breathers. Patients were diagnosed as mouth breathers based on physical examination and a history of chronic allergic rhinitis, adenoid, and tonsil enlargement. Lateral cephalograms were taken for all patients in the natural head position (NHP) with the Planmeca Proline XC Dimax3 x-ray machine (Planmeca, Helsinki-Uusimaa, Finland). All lateral cephalograms were traced and analysis was done to check airway, head posture, and craniofacial morphology. Descriptive statistics were performed to obtain the means and standard deviation of all the sample sizes. Unpaired t test was performed between nasal breathers and mouth breathers to check and evaluate the relationship. Mouth-breathing patients varied from nasal-breathing patients in airway adequacy and craniofacial morphology. A little, but not statistically significant, difference was seen in head posture between the two groups. Early interception of mouth breathing in patients could be very helpful, as the postural changes in the mouth-breathing patients, if continued for a longer period of time, could be the reason for severe skeletal deformities as well as dental malocclusion.

“Watch them Young – Treat them Grow”: Management of Developing Anterior Cross Bite in Mixed Dentition Period Using Versatile 2x4 Appliance

The primary care of the Paediatric dentist is guidance of the child’s developing dentition, in accordance with the stage of orofacial growth and development . Anterior dental crossbite results from the lingual position of the maxillary anterior teeth in relationship with mandibular anterior teeth. In any type of crossbite correction, the practitioner must be able to delineate whether crossbite is of dental origin or skeletal origin . Dental Crossbite involves the localized tipping of a tooth or teeth, does not involve the basal bone . In case of simple anterior dental crossbite, the patient presents a normal skeletal pattern with abnormalities presenting in the axial inclination of the affected teeth. According to Profitt, first adequate space needs to be opened to bring the displaced tooth or teeth across the occlusion into its proper position for anterior dental crossbite correction. Certain malocclusions should be corrected during the mixed dentition period which aids in the normal growth of jaws and surrounding structures. This article describes successful management of anterior segmental cross bite case treated using 2 x 4 appliance. The 2 x 4 appliance is a partially fixed orthodontic appliance that is used in children in a mixed dentition period to correct simple malocclusions associated with permanent anterior teeth.

Oral Manifestation of Papillon-Lefevre in Two Siblings

Background: Papillon-Lefèvre Syndrome (PLS) is a very rare genetic disorder (autosomal recessive) that usually affects infants between the ages of one and five years. PLS is characterized by palmar-plantar hyperkeratosis and premature loss of primary and permanent teeth with extensive, severe, and rapid destruction of the alveolar bone, leading to the premature loss of both teeth. Objective: To report on the management of PLS patients. Case: A 9-year-old girl and a 2.5-year-old boy from Nganjukto General Hospital, Pediatric Dentistry Division, RSGM Airlangga University with the main complaints of upper left tooth pain, rocking, difficulty eating, erythematous hyperkeratosis hands and feet, periodontal inflammation, mobility. bad teeth. Case Management: Nine-year-old girl: Teeth #26 and #46 could not be retained and extracted due to buccoversion and severe mobility. Periodontal supportive therapy was periodontal debridement, scaling and root planing and oral hygiene counseling with 0.20% chlorhexidine gluconate. Two-and-a-half-year-old boy: Too young, he is observed every 3 months. It is recommended to take vitamin B complex in appropriate doses and fruit juice as an additional supplement. Conclusion: Intensive periodontal treatment and administration of antibiotics only delays the progression of periodontal disease and cannot be used to prevent primary and permanent teeth. Extensive and repeated prosthodontic treatment is required to provide functional teeth to children during their period of jaw growth.

Bat teeth illuminate the diversification of mammalian tooth classes

Tooth classes are an innovation that has contributed to the evolutionary success of mammals. However, our understanding of the mechanisms by which tooth classes diversified remain limited. We use the evolutionary radiation of noctilionoid bats to show how the tooth developmental program evolved during the adaptation to new diet types. Combining morphological, developmental and mathematical modeling approaches, we demonstrate that tooth classes develop through independent developmental cascades that deviate from classical models. We show that the diversification of tooth number and size is driven by jaw growth rate modulation, explaining the rapid gain/loss of teeth in this clade. Finally, we mathematically model the successive appearance of tooth buds, supporting the hypothesis that growth acts as a key driver of the evolution of tooth number and size. Our work reveal how growth, by tinkering with reaction/diffusion processes, drives the diversification of tooth classes and other repeated structure during adaptive radiations.

Dental implants in growing patients: A systematic review and meta-analysis.

Dental implants provide a suitable and reliable treatment for the replacement of missing teeth. Very few studies have been reported in the literature regarding the application of dental implants in growing and developing patients. This systematic review with meta-analysis aimed to systematically review the available literature regarding the application of dental implants in growing and developing patients. A detailed search in the literature was performed with the help of keywords such as dental implants, treatment planning, children, adolescents, growing patients, and developing jaws. PubMed, Scopus, Web of Sciences, and Ovidsp databases were searched for papers published between 1980 and 2021. The papers focused on children, adolescents, developing jaws, and implants. In this systemic review, the dataset concerned with the type of study, aim, number of patients and specimens included, age of patients, total number of implants placed, total number of implants evaluated, medical history of developmental disorders of teeth such as ectodermal dysplasia, congenital absence of teeth, were evaluated. Out of the total literature searched, 33.45% of studies and case reports documented no complications in any implant treatment. In 47.21% of studies and case reports, there was both success and failure of implants while in 13.21% of studies and case reports there was a complete failure of implants. The most common cause for loss of permanent teeth in growing children and adolescent patients was dental trauma (73.13%) followed by congenital developmental disturbance of teeth (18.19%). It can be concluded from this systematic review that the use of implants in edentulous growing patients is determined by several parameters, including the patient's overall health, the stage of jaw growth, the number of teeth to be replaced, and soft and hard tissue anatomic features. Still, the use of a conservative treatment strategy for missing teeth management in patients with developing jaws is common and recommended until the patient's growth is completed, as there are chances of changes in the position of dental implants placed in the developing and growing jaws due to the continuous changes taking place in their body. However, placement of implants can be done in these patients successfully with proper treatment planning and taking into account the phase of growth with proper follow-up.

Association of the Vertical and Sagittal Growth Patterns of Jaws with the type of Third Molar Impactions: A Radiological Analysis

Objective: To evaluate if the jaw growth patterns are associated with third molar impactions.&#x0D; Design: Cross-sectional study.&#x0D; Study setting: Orthodontics Department, Islamic International Dental College &amp; Hospital Islamabad, Jan to Jun 2018.&#x0D; Methods: We analysed the records of 300 mandibular and maxillary third molars with specific criteria. Orthopantomogram Xrays were used to identify impactions and were classified by Pell and Gregory (P&amp;G) and Winter lines. In addition, lateral cephalograms were assessed for sagittal classes and vertical growth patterns.&#x0D; Results: Angles of impaction (Winter lines) of mandibular M3s were significantly associated with sagittal growth patterns(p=0.021), with most mesioangular impactions found in Classes I and II. High-angle subjects resulted in the highest impactions in the vertical growth patterns. High angle was followed by low angle and normal angle in mandibular M3s and normal angle and low angle in maxillary M3s. Levels of maxillary M3s (P&amp;G) and vertical patterns showed a significant association (p=0.016), with the highest M3s at level C. The maximum number of impacted M3 coexisted with P&amp;G Class- II and level B for both jaws.Conclusion: Significant associations were found between mandibular M3 angles, sagittal patterns, and levels of maxillary M3s and vertical patterns. Results conclude that facial growth patterns and M3 impactions are not completely independent and may help predict impaction status in adolescence and aid in orthodontic treatment.

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

Reduction and stabilisation of fractures at the earliest is valuable in the paediatric age groups. This novel technique focuses on stabilisation of the fracture fragments using vicryl, which has an added advantage to conventional plating and wiring. This study aimed on a novel cost-effective technique of stabilising the paediatric mandibular fracture using 2-0 resorbable polyglactin 910 suture with minimal trauma to tooth buds and bone and adequate stability. After raising a full-thickness mucoperiosteal flap, the fracture segments are identified and reduced. 1.6mm drill bit is used to make holes through the buccal cortex on either side of the fractured segment in an anteroposterior direction. The patency of holes is checked by passing a long 26-gauge wire. The proximal end of the wire is bent into a loop, a 2-0 resorbable polyglactin suture (vicryl) is passed through this loop and the loop is pressed in place to lock the suture. The wire with the attached suture is pulled through the distal end. Once the suture is secure in place, the 26G wire is cut, and the two ends of sutures are knotted and stabilised. The mucoperiosteal flap is then closed. A novel method of stabilisation of paediatric fracture without hampering the tooth and jaw growth, especially in the financially unstable population. 2-0 polyglactin 910 suture is cost-effective, $2 US, compared to resorbable plates costing about $150 US, and easily available. Polyglactin 910 takes 40-60 days for resorption, and half-life tensile strength is 2 weeks; thus, it gives adequate stability and time for callus formation and does not damage the tooth buds or bone by cutting through them.