Conservative management of mandibular fracture with maxillomandibular fixation using orthodontic brackets and elastics: A case report

Case Report

Contemp Pediatr Dent 2020:1(1):52-56


Conservative management of mandibular fracture with maxillomandibular fixation using orthodontic brackets and elastics: A case report

OrcidAlina Rai1 ✉,  OrcidMamta Dali2,  OrcidSneha Shrestha3, OrcidPradeep Acharya4

Affiliations

1.Junior resident, Department of Pedodontics and Preventive Dentistry, B.P Koirala Institute of Health Science, Dharan, Nepal. ( Correspondence: alinapr.rg@gmail.com)

2. Associate Professor, Department of Pedodontics and Preventive Dentistry, B.P Koirala Institute of Health Science, Dharan, Nepal

3. Assistant Professor, Department of Pedodontics and Preventive Dentistry, B.P Koirala Institute of Health Science,Dharan, Nepal

4. Associate Professor, Department of Oral and Maxillofacial Surgery, B.P Koirala Institute of Health Science, Dharan, Nepal


Highlights

This case report enlightens the novel closed fracture reduction technique of mandibular fracture management with maxillomandibular fixation using orthodontic brackets and elastics.

Conservative management is the mainstay management of fracture in children. Orthodontic brackets and elastics are non-invasive and cost effective.

This method shows a promising result and can be used in some selective cases.


Abstract

Mandibular fracture is the most common facial skeletal injury in pediatric population seen in hospital setting. Fracture management is complicated by the developing permanent tooth buds and continuous mandibular growth. However, healing capacity in children is faster. Hence, conservative management is most often the treatment of choice for bone fractures in children. This case report is about a 6-year-old female child who sustained mandibular fracture after a road traffic accident (RTA) which was conservatively managed with maxillomandibular fixation using brackets and elastics. Orthodontic brackets were placed on facial aspect of posterior teeth of both the arches and elastics were used for traction leading to immobilization and stabilization of fracture. Healing was uneventful with complete bony union as evident by three months follow up orthopantomogram. Maxillomandibular fixation using brackets and elastics is a simple and non-invasive closed fracture reduction technique giving excellent result. The present case report showed successful outcome of mandibular fracture management.

Keywords: Closed Fracture Reduction; Maxillomandibular Fixation; Mandibular Fractures


Copyright © 2020 Contemporary Pediatric Dentistry

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Full Text


DOI

10.51463/cpd.2020.27


Views

144 views

Article Info

Received:

15 October 2020

Accepted:

24 November 2020

Online First:

15 December 2020