Infantile Mandibular Fracture Treatment with Double-crossed Skeletal and Circummandibular Wires: A Case Report
نویسندگان
چکیده مقاله:
Abstract The prevalence of mandibular fracture is relatively lower in the pediatric population compared to adults. The treatment of these fractures is more challenging for oral and maxillofacial surgeons due to the concerns regarding mandible growth and the presence of developing tooth buds. According to the literature, conventional methods (e.g., soft diets or closed reduction) are more effective in the treatment of nondisplaced pediatric mandibular fractures. There are few case reports regarding the treatment of mandibular fractures in infants, which have mainly introduced new technique using double-crossed direct skeletal wires to reinforce circummandibular wirings for the conservative treatment of infantile mandibular fractures. The present study aimed to describe the case of a 12-month male infant with significant dislocated right mandibular parasymphysis fracture. Initially, two circummandibular wires were passed bilaterally to pull the mandibular segments for their vertical alignment. Afterwards, the skeletal buccal and lingual direct wires reinforced the previous circummandibular wiring to fit the fracture segments. Finally, all the wires were tightened simultaneously to maintain satisfactory bone reduction. Furthermore, the addition of skeletal buccal and lingual direct wires could reinforce the previous circummandibular wiring to fit the fracture segments anteroposteriorly. The fracture healed uneventfully with no complications, and intermaxillary fixation was not required in the patient. Moreover, the alveolar segments were in an appropriate position, and the maximum mouth opening of the patient was normal with no deviation, indicating a successful clinical outcome. This method was relatively reliable, noninvasive, and inexpensive, associated with the decreased discomfort and morbidity associated with maxillomandibular fixation, open reduction, and internal fixation in infants.
منابع مشابه
Modified Circummandibular Wiring Fixation Using Acrylic Splint for the Treatment of Displaced Mandibular Parasymphysis Fracture: a Case Report
متن کامل
Treatment of horizontal root fracture with extrusion: A case report
Root fractures are defined as fractures involving dentine, cementum, and pulpal and supportive tissues. They comprise about 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors. Case report: This case report is about a 26-year-old male referred to the endodontic departme...
متن کاملMandibular angle fracture following closed extraction of lower third molar: A case report and systematic review
Objectives Mandibular third molar extraction is among the most commonly performed dental procedures. Fracture of the angle of mandible after third molar extraction is a rare complication of this procedure. Case Herein, we report fracture of the right angle of mandible immediately after extraction of mandibular right third molar in a 38-year old healthy female patient, which was surgically mana...
متن کاملEndodontic treatment of a mandibular first premolar with three root canals: a case report
Background: A correct diagnosis of the morphology of the root canal system is crucial in order to ensure a successful root canal treatment. The incidence of mandibular first premolars with three root canals has been reported to be low. This clinical case report describes a case of a successful nonsurgical endodontic management of a mandibular first premolar with three root canals. Case present...
متن کاملSurgical treatment and a unique management of rostral mandibular fracture with cerclage wire in a horse
A 3-year-old Arabian colt was presented for a major gingiva wound at the right rostral part of mandible. After clinical assessments, rostral mandibular fracture was determined. Stabilization of fractured region was achieved via cerclage wire application under general anesthesia. Fixation wires were left in place for 6 weeks. A 3 -month follow up revealed complete fracture healing. The purpose o...
متن کاملMandibular Second Premolar with Three Roots: A Case Report
Human mandibular premolars have earned the reputation for having an extremely complex root and root canal morphology. The incidence of multiple roots and canals in mandibular second premolars is lower than those in mandibular first premolars. Mandibular second premolars with three root canals and separate foramina are very rare. In this case report, endodontic management of a three-rooted mandi...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ذخیره در منابع من قبلا به منابع من ذحیره شده{@ msg_add @}
عنوان ژورنال
دوره 8 شماره 3
صفحات 153- 158
تاریخ انتشار 2019-09-01
با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023