scholarly journals Pediatric mandibular fracture therapy: A case report

2020 ◽  
Vol 77 (6) ◽  
pp. 647-650
Author(s):  
Ivan Tusek ◽  
Miroslav Ilic ◽  
Jasmina Tusek ◽  
Stojan Ivic ◽  
Branislav Tusek
Keyword(s):  
Case Report ◽  
Developmental Disorders ◽  
Mouth Opening ◽  
Treatment Method ◽  
Mandibular Fracture ◽  
Fracture Line ◽  
Mixed Dentition ◽  
Dental Occlusion ◽  
Mandibular Fractures ◽  
Efficient Treatment

Introduction. Frequency of pediatric mandibular fractures is relatively uncommon. Apart from rare exceptions, there is minimal invasive access in the treatment of those injuries in order to avoid the future developmental disorders. Case report. During the game with a colt, a 6-year-old boy was kicked by hoof in the chin. The child did not lose consciousness and did not experience nausea or vomiting. According to clinical examination and radiological analysis, diagnosis was assigned as dislocated mandibular fracture in the parasymphysis part of the jaw and luxation injury of teeth 31 and 72. The surgical treatment under general anesthesia encompassed reduction and bimanual manipulation of bone fragments up to the optimal restoration of the dental occlusion, along with osteosynthesis with titanium miniplates. Luxated deciduous tooth 72 at the fracture line was extracted and luxated permanent tooth 31 was fixed to tooth 41 with wire. The patient was given antibiotic therapy. Additional immobilization of the luxated tooth 31 and mandibular fracture was performed after surgery by composite resin splint. During five-month follow-up period there were no signs of pathological movements in the fracture line, no luxation of tooth 31 and no restriction in mouth opening. Conclusion. Osteosynthesis with miniplates is adequate and very efficient treatment method in dislocated mandibular fracture that is recommended in children with both deciduous and mixed dentition. It is necessary to remove miniplates after fracture consolidation.

scholarly journals Functional Treatment of a Child with Extracapsular Mandibular Fracture

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Diana Cassi ◽  
Marisabel Magnifico ◽  
Chiara Di Blasio ◽  
Mauro Gandolfini ◽  
Alberto Di Blasio
Keyword(s):  
Case Report ◽  
Surgical Therapy ◽  
Mandibular Fracture ◽  
Functional Treatment ◽  
Fracture Line ◽  
Therapeutic Regimen ◽  
Traumatic Lesions ◽  
The Face ◽  
Condylar Fractures

Condylar fractures are among the most frequent fractures in the context of traumatic lesions of the face. The management of condylar fractures is still controversial, especially when fractures occur in children: if overlooked or inappropriately treated, these lesions may lead to severe sequelae, both cosmetic and functional. The therapy must be careful because severe long-term complications can occur. In this case report, the authors present a case of mandibular fracture in which the decision between surgical therapy and functional therapeutic regimen may be controversial due to the particular anatomy of the fracture line and the age of the patient.

Infected Dental Follicle Secondary to Mandibular Parasymphyseal Fracture: A Case Report

2016 ◽  
Vol 40 (1) ◽  
pp. 76-80
Author(s):  
Akshara Singh ◽  
Hind Pal Bhatia ◽  
Ashim Aggarwal ◽  
Amit Mohan ◽  
Naresh Sharma
Keyword(s):  
Case Report ◽  
Sinus Tract ◽  
Mixed Dentition ◽  
Mandibular Fractures ◽  
Dental Follicle ◽  
Fractures In Children ◽  
Long Term Follow Up ◽  
History Of ◽  
Invasive Techniques ◽  
Tooth Buds

Mandibular fractures are one of the most common maxillofacial traumatic injuries. They are also reported to be associated with highest rate of post-operative infection. In mixed dentition, management of tooth buds in line of fracture present great challenge to the surgeon. Timely management and non-invasive techniques can help in alleviating complications associated with fractures in children. Such cases should be kept on long-term follow-up for evaluation of proper growth and development. This case report documents a child having a history of previous mandibular fracture and extra-oral sinus tract associated with infected dental follicle. Key words: Tooth buds, greenstick fracture, sinus.

scholarly journals A retrospective study of 109 dogs with mandibular fractures

2013 ◽  
Vol 26 (01) ◽  
pp. 01-05 ◽  
Author(s):  
H. de Rooster ◽  
S. M. Ferreira ◽  
G. Steenkamp ◽  
A. M. Kitshoff
Keyword(s):  
South Africa ◽  
Treatment Options ◽  
Small Animal ◽  
Fracture Morphology ◽  
Mandibular Fracture ◽  
Fracture Repair ◽  
Fracture Line ◽  
Mandibular Fractures ◽  
Anatomical Location ◽  
New Treatment

SummaryObjective: To determine patient factors and fracture morphology of dogs presented with mandibular fractures to a small animal referral centre in South Africa.Methods: Patient data on age, sex, breed and aetiology of dogs with mandibular fractures were recorded. The fractures were classified according to the anatomical location, displacement, fracture type, fracture line direction, periodontal pathology, and whether there were teeth in the fracture line or not by evaluation of preoperative radiographs. Clinical observations indicated whether these fractures were open or closed.Results: In total, 109 dogs with 135 mandibular fractures were included in the study. Small breed dogs and dogs less than eight months of age predominated (102/109). Dog fights were the most common aetiology in this study (68/109). The molar region was the most commonly affected region (56/135). Evaluation of the radiographs revealed that transverse (73/135), relatively unstable (116/135), and displaced (112/135) fractures were the most common. The majority of fractures involved teeth in the fracture line (100/135), with the first molar frequently involved (54/135). The majority of fractures were open (104/135).Clinical significance: The results obtained from this study may be used to guide patient and fracture morphology selection in biomechanical studies of mandibular fracture repair techniques. Screening of this patient population may inspire the search for new treatment options for mandibular fracture repair in South Africa.

scholarly journals A Simplified Digital Workflow for the Treatment of Pediatric Mandibular Fractures Using Three-Dimensional (3D) Printed Cap Splint: A Case Report

2019 ◽  
Vol 3 (1) ◽  
pp. s-0039-1694765
Author(s):  
Chitra Chakravarthy ◽  
Nitish Chandra Gupta ◽  
Ravi Patil
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Three Dimensional ◽  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Digital Workflow ◽  
Mandibular Growth ◽  
Dental Model ◽  
3D Printed ◽  
Tooth Germs

Pediatric mandibular fracture needs special consideration by clinicians. The management of pediatric mandibular fracture differs from that in adults considering the presence of tooth germs and the potential for mandibular growth. One of the most common forms of conservative management for pediatric mandibular fractures is the use of cap splint along with circummandibular wiring. The conventional workflow prior to performing surgery with this technique is impression taking and dental model fabrication. Additionally, it is also recommended that mock surgery should be performed to achieve proper reduction before acrylic splint fabrication. However, these procedures are effortful and time consuming when performed under general anesthesia during surgery and require additional sedation if performed prior to surgery. The aim of this case report is to describe a simpler preoperative digital workflow for the treatment of pediatric mandibular fractures, in which closed reduction is achieved with a three-dimensional printed cap splint stabilized with circummandibular wiring under general anesthesia.

Severe Anterior Open Bite during Mixed Dentition Treated with Palatal Spurs

2016 ◽  
Vol 40 (3) ◽  
pp. 247-250 ◽  
Author(s):  
Mauro Henrique Andrade Nascimento ◽  
Telma Martins de Araújo ◽  
Andre Wilson Machado
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Early Stage ◽  
Open Bite ◽  
Mixed Dentition ◽  
Dental Occlusion ◽  
Anterior Open Bite ◽  
Oral Habits ◽  
Nutritive Sucking ◽  
Thumb Sucking

Deleterious oral habits, such as non-nutritive sucking or tongue thrusting, if not intercepted at an early stage can cause complex malocclusions. This manuscript describes a clinical case report of a successful interception of a severe anterior dental open bite caused by thumb sucking and tongue thrusting habits. The case involved a six-year-old female patient treated with the use of palatal spurs and maxillary removable crib followed by monitoring the development of dental occlusion. At the end of the interceptive phase acceptable results were achieved, showing the efficacy of the treatment undertaken as well the importance of an early intervention to remove harmful oral habits.

scholarly journals Mandibular Fractures: Pre-Operative Panoramic Radiography and Duplication Sign Patterns

2021 ◽  
Vol 5 (5) ◽  
pp. 57-66
Author(s):  
Oleksandr Nosyr ◽  
Serhii Khrulenko
Keyword(s):  
Cortical Bone ◽  
Management Strategy ◽  
Panoramic Radiography ◽  
Mandibular Fracture ◽  
Fracture Line ◽  
Mandibular Fractures ◽  
Panoramic Radiographs ◽  
Sign Patterns ◽  
Precise Diagnosis ◽  
Mandible Fractures

The purpose of this essay is to present the multiple patterns of the duplication sign at the mandibular fracture line/gap visualized at the panoramic radiography as two-line fracture gap or pseudocomminuted fracture. We retrospectively reviewed the orthopantomography of patients with mandible fractures and presented nine patients with 12 duplication signs (also known as lambda course fracture line). On panoramic radiographs the fracture line/gap with duplication sign is visualized as two-line cortical bone discontinuity with or without dislocation due to the fact that the fracture gap runs asymmetrically on the external and internal cortical plates of the jaw. Knowledge of duplication sign patterns, artifacts is also crucial for the precise diagnosis and choice of correct management strategy.

scholarly journals Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga

2019 ◽  
Vol 52 (3) ◽  
pp. 147
Author(s):  
Olivia Jennifer Gunardi ◽  
Riska Diana ◽  
David Buntoro Kamadjaja ◽  
Ni Putu Mira Sumarta
Keyword(s):  
Closed Reduction ◽  
Reduction Method ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Mandibular Fracture ◽  
Patient Treatment ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Background: The mandible is one of the bones most affected by facial fractures commonly resulting from trauma to the face. The ultimate goal of treatment is to re-establish the pre-injury dental occlusion (bite), mandibular anatomy and jaw function of the patient. Treatment approaches range from conservative non-invasive management by ’closed’ reduction and immobilization using intermaxillary fixation (IMF) to the more invasive surgery-based ’open’ reduction incorporating an internal fixation approach. Purpose: The purpose of this case series was to describe the close reduction method as a form of treatment in cases of neglected mandibular fracture. Cases: Four cases of single or multiple mandibular fracture were presented. Case management: All of the cases were managed using a closed reduction method and IMF. Conclusion: A closed reduction method in this case series produced encouraging results and could be considered an alternative in the treatment of neglected mandibular fractures with displacement.

Feline Mandibular Fractures

2013 ◽  
Vol 15 (3) ◽  
pp. 211-218 ◽  
Author(s):  
Nicolas Woodbridge ◽  
Martin Owen
Keyword(s):  
Small Animal ◽  
Evidence Base ◽  
Mandibular Fracture ◽  
Fracture Repair ◽  
Dental Occlusion ◽  
Mandibular Fractures ◽  
Wide Range ◽  
Veterinary Surgeon ◽  
Fixation Techniques ◽  
Animal Surgery

Practical relevance: Mandibular fractures occur commonly in cats and appropriate treatment is vital to ensure restoration of dental occlusion and masticatory function. Clinical challenges: Historically, a relatively high complication rate has been reported in association with mandibular fracture repair, and these complications can represent a significant challenge for the veterinary surgeon. Audience: General practitioners as well as specialists in small animal surgery are presented with fractures of the mandible on a regular basis. Patient group: Cats of all ages can suffer mandibular fracture; however, young cats (mean age 30 months) are over-represented. No sex predilection is reported. Equipment: The nature of the equipment required for mandibular fracture repair varies greatly, depending on the fracture type and location. An uncomplicated mandibular symphyseal fracture requires only basic orthopaedic equipment whereas the surgeon must ensure they have access to a wide range of orthopaedic equipment prior to undertaking repair of a complex mandibular fracture. Evidence base: Management of mandibular fractures is a complex subject. Over the past three decades many fixation techniques have been described in the veterinary literature, with authors analysing and discussing the surgical management of these potentially challenging injuries.

Mandibular fracture repair in dogs and cats using epoxy resin and acrylic external skeletal fixation

2004 ◽  
Vol 17 (04) ◽  
pp. 189-197 ◽  
Author(s):  
S. J. Hobbs ◽  
A. P. Moores ◽  
D. Bennett ◽  
S. Carmichael ◽  
M. R. Owen
Keyword(s):  
Epoxy Resin ◽  
Mandibular Fracture ◽  
Fracture Repair ◽  
Dental Occlusion ◽  
Mandibular Fractures ◽  
Implant Loosening ◽  
Inhalational Anaesthesia ◽  
Iatrogenic Damage ◽  
Neurovascular Structures

SummaryMandibular fractures in 17 dogs and in eight cats were managed using external skeletal fixation (ESF) with acrylic or epoxy resin connecting bars. In order to maintain dental occlusion during fracture repair pha- ryngostomy or tracheostomy was performed in 12 dogs and in six cats to permit inhalational anaesthesia during surgery. All of the fractures healed with the exception of fractures in two dogs. Mandibular external skeletal fixation was well tolerated and there was not any evidence of iatrogenic damage to teeth nor to neurovascular structures within the mandible. Implant loosening was commonly observed at the time of fixator removal, but it did not affect the outcome.

Treatment of caudal mandibular fracture and temporomandibular joint fracture-luxation using a bi-gnathic encircling and retaining device

2010 ◽  
Vol 23 (02) ◽  
pp. 102-108 ◽  
Author(s):  
J. Wyatt ◽  
H. Radke ◽  
S. J. Langley-Hobbs ◽  
I. Nicholson
Keyword(s):  
Temporomandibular Joint ◽  
Mandibular Fracture ◽  
Dental Occlusion ◽  
Mandibular Fractures ◽  
Joint Fracture ◽  
Caudal Portion ◽  
Initial Reduction ◽  
Poor Tolerance ◽  
Long Term Follow Up ◽  
Neck Fracture

SummaryFractures of the caudal portion of the mandible and temporomandibular joint (TMJ) fracture-luxation can be challenging to treat with direct fixation methods. This paper describes a simple technique for the indirect treatment of caudal mandibular fracture and TMJ fracture-luxation using a subcutaneous loop of nylon leader line tunnelled around the maxilla, incisive and nasal bones, and under the mandible, placed just caudal to the canine teeth, and crimped ventral to the mandibular skin: a bi-gnathic encircling and retaining device (BEARD). A BEARD was used to treat two immature dogs with simple, unilateral caudal mandibular fractures, six cats with unilateral injury (two with TMJ luxation, three with TMJ fracture-luxation, one with caudal mandibular fracture), and two cats with bilateral injury (comminuted caudal mandibular fracture with contralateral TMJ luxation; bilateral condylar neck fracture). The BEARD treatment failed short-term due to poor tolerance in one cat, and concurrent injuries and poor initial reduction in another cat. One cat was lost to long-term follow-up. Rostral dental occlusion was normal in six out of seven cases, and reported jaw function was normal in seven out of seven cases. The case with poor occlusion had imperfect initial reduction. Complications included dorsal nasal skin swelling or discharge, oesophagostomy tube dislodgement or blockage, BEARD loosening, and regurgitation. Treatment of uni- or bilateral caudal mandibular trauma using a BEARD can lead to clinical union, and normal rostral occlusion, provided that case selection is appropriate and immediate-post-surgical occlusion has been corrected.

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