What is it about?
Mandibular fracture is less common in children. Fracture management is a complex issue in children that needs immediate diagnosis and appropriate treatment to ensure a favorable outcome. Intermaxillary fixation (IMF) is an integral part of the management of facial bone fractures. Conventional methods have disadvantages, like the risk of transmission of blood-borne diseases, stressful procedures, and mutilation of teeth, tooth buds, and also periodontium. The use of orthodontic brackets and elastics as IMF is an effective and efficient alternative technique in the management of mandibular fracture because it removes the disadvantages of standard Intermaxillary fixation and provides a stable occlusal & functional thereafter.
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Why is it important?
In pediatric patients, the presence of tooth germs, growing jaws, deciduous tooth anatomy, and different wiring techniques used in IMF will not be ideal and the compliance of patients complicates the treatment procedure. For these reasons, ORIF is not indicated as it affects skeletal and teeth development. Therefore, a conservative approach should be a better alternative to manage mandibular fractures in pediatric patients. In this article, the conservative management of condylar fracture of the mandible with the help of orthodontic brackets & elastics traction has been described.
Perspectives
The brackets were of the sort routinely used for fixed appliance therapy in orthodontics for the correction of maligned teeth. These brackets are low-cost and easily available. Placement of brackets was easy and also the operator could avoid contact with the intraoral fluids, which may cause transmission of blood-borne diseases. Traction elastic will be used on selected teeth to realize maximum alignment of occlusion. Within 24hrs occlusion was achieved and stable. During this era, patient experiences less or no discomfort
Dr. Madhusudhan K Siddaiah
Krishnadevaraya College of Dental Sciences, India
Read the Original
This page is a summary of: Dental Braces as IMF in Pediatric Population or in Children; A Conservative Concept, July 2022, Enviro Research Publishers,
DOI: 10.12944/edj.04.01.03.
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