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Management of Symphysis Fracture in a 3-year-old Child With Prefabricated Acrylic Splint and Circum-mandibular Wiring

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Pediatric mandibular fractures are often the sequelae of facial skeletal injuries in patients with trauma and frequently require hospitalization. Due to the retrusive mid-face position relative to the calvarial prominence, facial fractures are rare in children younger than 5 years of age. Although rare, they most often occur as a result of motor vehicle accidents. The purpose of this report is to describe the management of a mandibular symphysis fracture in a 3-year-old boy with displacement between the primary mandibular left central and lateral incisors. The fracture was reduced and the fractured segment was stabilized under general anesthesia with a prefabricated acrylic splint with circum-mandibular wiring. Children have greater osteogenic potential and faster healing rates than adults; therefore, anatomic reduction in children is best accomplished earlier.
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Keywords: ACRYLIC SPLINT; CIRCUM-MANDIBULAR WIRING; DISPLACEMENT; SYMPHYSIS FRACTURE

Document Type: Research Article

Affiliations: 1: Department of Pedodontics and Preventive Dentistry, M. R. Ambedkar Dental College and Hospital, Bangalore, India 2: Department of Oral and Maxillofacial Surgery, M. R. Ambedkar Dental College and Hospital, Bangalore, India

Publication date: January 1, 2013

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  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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