Management of minimally displaced mandibular fracture with customized open cap splint in an 11-year child: A case report

Case Report

Contemp Pediatr Dent 2022:3(2):80-85


Management of minimally displaced mandibular fracture with customized open cap splint in an 11-year child: A case report

OrcidMallayya C. Hiremath1✉, Orcid SK. Srinath2, Orcid Aarcha S. Kumar3 , Orcid Pushpalatha Shivashankar4

Affiliations

1. Assoc. Prof., Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India ( Correspondence: drmallayyahiremath@gmail.com)
2. Professor and Head, Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India
3. Post Graduate, Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India
4. Post Graduate, Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India


Highlights

This case report describes a conservative method of using a customized open cap splint in a minimally displaced mandibular fracture in an 11-year child.

Modified acrylic open cap splint design is a simple, easy, cost-effective, and reliable method of treatment in minimally displaced fractures of

Post-operative complications like non-union, malunion and infections are rare in children because of good osteogenic potential and faster healing.


Abstract

Mandibular fractures are the most common type of facial skeletal injury in children. In descending order, the most common is the condylar region then angle, and thirdly body fractures. Most of the fractures are greenstick type in children, because of the presence of permanent tooth buds which hold the fractured mandibular fragments like glue. Hence, conservative management is preferred and the fractures heal well and rapidly in children. The condylar neck in children being short and thick helps to resist the fracture, making most of them the nondisplaced type of fractures. The purpose of this case report is to present a conservative and effective treatment technique for pediatric mandibular fractures using a customized acrylic cap splint. This method has many advantages like simplicity of design, ease of fabrication, and reliability. This method takes care of anatomical, physiological, and psychological aspects as well as the complexity of developing jaws in children.

Keywords: Children; Closed Fracture Reduction; Mandibular Fracture; Splint


Copyright © 2022 Contemporary Pediatric Dentistry

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Full Text


DOI

10.51463/cpd.2022.103


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Article Info

Received:

06 March 2022

Accepted:

18 July 2022

Online First:

03 Aug 2022