Pediatric mandibular fracture therapy: A case report
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 kicke...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2020-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800110T.pdf |
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| author | Tušek Ivan Ilić Miroslav P. Tušek Jasmina Ivić Stojan Tušek Branislav |
| author_facet | Tušek Ivan Ilić Miroslav P. Tušek Jasmina Ivić Stojan Tušek Branislav |
| author_sort | Tušek Ivan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-8eb8242b2f5542d986a616deab69e60f |
| institution | DOAJ |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-8eb8242b2f5542d986a616deab69e60f2025-08-20T03:07:17ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202020-01-0177664765010.2298/VSP180328110T0042-84501800110TPediatric mandibular fracture therapy: A case reportTušek Ivan0Ilić Miroslav P.1Tušek Jasmina2Ivić Stojan3Tušek Branislav4University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Dental Clinic of Vojvodina, Novi Sad, SerbianemaPrivate Dental Practice “Palmadent”, Novi Sad, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + University of Novi Sad, Faculty of Medicine, Dental Clinic of Vojvodina, Novi Sad, SerbiaInstitute for Pulmonary Diseases of Vojvodina, Sremska Kamenica, SerbiaIntroduction. 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.http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800110T.pdfchild, preschoolfracture fixation, internalmandiblemandibular fracturesoral surgical procedurestreatment outcome |
| spellingShingle | Tušek Ivan Ilić Miroslav P. Tušek Jasmina Ivić Stojan Tušek Branislav Pediatric mandibular fracture therapy: A case report Vojnosanitetski Pregled child, preschool fracture fixation, internal mandible mandibular fractures oral surgical procedures treatment outcome |
| title | Pediatric mandibular fracture therapy: A case report |
| title_full | Pediatric mandibular fracture therapy: A case report |
| title_fullStr | Pediatric mandibular fracture therapy: A case report |
| title_full_unstemmed | Pediatric mandibular fracture therapy: A case report |
| title_short | Pediatric mandibular fracture therapy: A case report |
| title_sort | pediatric mandibular fracture therapy a case report |
| topic | child, preschool fracture fixation, internal mandible mandibular fractures oral surgical procedures treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2020/0042-84501800110T.pdf |
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