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Acta Biomedica Scientia

Volume 1, Issue 2, 2013
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
MANAGEMENT OF MANDIBLE FRACTURES IN PEDIATRIC PATIENTS
Author
Anita Hooda1 and Arun Kumar2*
Email
drarun922@gmail.com
keyword
Mandible, Dentoalveolar fractures, Pediatric, Intermaxillary fixation, Splinting.
Abstract
Objectives: To present the management of mandible fractures in pediatric patients. Methods: Study Design: This prospective study was done from January 2010- November 2012 in a tertiary care center. Ten pediatric patients in the age group of 4-11 years presenting with mandible fractures were treated. Treatment performed is early and exact method of intervention depends on the chronological age and state of dental development. Interventions: Depending upon the fracture location patients were treated with cap splints, eyelet’s wiring, arch bar, inter-maxillary (IMF) splinting, and composite wire splinting. Independent Variables: Displaced or un-displaced fractured segments, occlusion status, open bite. Outcomes Variables: Post Operative healing, occlusion status, deviation of jaw, midline shift, post operative pain, and/or discomfort. Results: Eight cases (80%) presented with fracture para-symphysis followed by one each of fracture angle of mandible and dento-alveolar fracture. Para-symphysis fractures were managed by cap splinting in 4 cases, IMF with eyelet wiring in 3 cases and IMF with arch bar in one case. The fracture angle of mandible was managed with IMF with arch bar while the dentoalveolar fracture was managed with composite wire splinting. All the cases showed good post operative healing regarding occlusion status, no midline shifting or deviation of jaw and discomfort after 1 year follow up period. Conclusion: In pediatric population fracture mandible should be treated early and the intervention is guided by site of fracture of mandible, age of the patient and state of dental development.
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