Management of minimally displaced mandibular fracture with customized open cap splint in an 11-year child: A case report
Mallayya C. Hiremath1
✉, SK. Srinath2, Aarcha S. Kumar3, Pushpalatha Shivashankar4
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 the mandible in child patients.
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
Author Affiliations
- Assoc. Prof., Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India (Correspondence: drmallayyahiremath@gmail.com)
- Professor and Head, Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India
- Post Graduate, Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India
- Post Graduate, Dept. of Paediatric and Preventive Dentistry, Government Dental College and Research Institute, India
References
- Munante-Cardenas JL, Olate S, Asprino L, deAlbergaria Barbosa JR, de Moraes M, MoreiraRW. Pattern and treatment of facial trauma inpediatric and adolescent patients. J Craniofac Surg2011;22:1251-1255
- Zimmermann CE, Troulis MJ, Kaban LB.Pediatric facial fractures, recent advances inprevention, diagnosis, and management. IntJ Oral Maxillofacial Surg 2006;35: 2–13
- Crean STJ, Sivarajasingam V, Fardy MJ.Conservative approach in the management ofmandibular fractures in the early dentition phase:A case report and review of the literature. Int JPediatr Dent 2000;10:229–233
- Kaur K, Kaur S, Suneja B, Bansal S, Bahl R,Jodhka S, et al. Role of cap splints in themanagement of pediatric mandibular fractures- ACase series. European Journal of Molecular andClinical Medicine 2021;7:5886-5897
- Kumar N, Richa, Gauba K. Modified closedcap splint: Conservative method for minimallydisplaced pediatric mandibular fracture. SaudiDental Journal 2018;30: 85-88
- Kaban LB. Diagnosis and treatment offractures of the facial bones in children 1943-1993. J Oral Maxillofac Surg 1993;51:722–729
- Maniglia AJ, Kline SN. Maxillofacial trauma inthe pediatric age group. Otolaryngol Clin NorthAm 1983;16:717–730
- Tanaka N, Uchide N, Suzuki K, Tashiro T,Tomitsuka K, Kimijima Y, Amagasa T.Maxillofacial fractures in children. J Cranio-maxillo-facial Surg 1993;21:289–293
- Mulliken JB, Kaban LB, Murray JE.Management of facial fractures in children. ClinPlast Surg 1977;4:491–502
- Selle A, Thieme V. Injuries to the facialportion of the skull and their late effects inchildren and juveniles- a 10-year analysis (author’stranslation). Zahn Mund Kieferheilkd Zentralbl1979;67:377–385
- Dahlstrom L, Kahnberg KE, Lindahl L. 15years follow-up on condylar fractures. Int J OralMaxillofac Surg 1989;18:18–23
- Troulis MJ, Kaban LB. Endoscopic approachto the ramus/condyle unit: clinical applications. JOral Maxillofac Surg 2001;59:503–509
- Rai A, Dali M, Shrestha S, Acharya P.Conservative management of mandibular fracturewith maxillomandibular fixation usingorthodontic brackets and elastics: A case report.Contemp Pediatr Dent 2020;1: 52–56
Article Info
Contemp Pediatr Dent 2022:3(2):80-85
Received: 06 March 2022
Accepted: 18 July 2022
Online First: 03 August 2022
85 views
Full Text
| File | Downloads |
|---|---|
CPD.2022.103
|
233 |
How to Cite
Mallayya C. Hiremath, SK. Srinath, Aarcha S. Kumar, Pushpalatha Shivashankar. Management Of minimally displaced mandibular fracture with customized open cap splint in an 11-year child: A case report. Contemp Pediatr Dent 2022:3(2):80- 85
