International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE 4 ( July-August, 2023 ) > List of Articles


Modified Cap Splint: A Novel Approach to Treating Delayed Mandibular Fracture in Pediatric Patients

Shruti Jha, Nancy Goel

Keywords : Case report, Fracture, Mandible, Occlusion, Pediatric patient

Citation Information : Jha S, Goel N. Modified Cap Splint: A Novel Approach to Treating Delayed Mandibular Fracture in Pediatric Patients. Int J Clin Pediatr Dent 2023; 16 (4):645-648.

DOI: 10.5005/jp-journals-10005-2643

License: CC BY-NC 4.0

Published Online: 11-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Mandibular fractures in children, when compared to adults are quite less common. The treatment approaches for mandibular fractures differ in children due to their growth and developing dentition. Minimal manipulation of bony architecture is done to achieve a stable position. Thus a closed reduction is preferred in children. This article presents a case of an 8-year-old boy, mandibular left parasymphysis fracture with displacement of the left dentoalveolar segment which was managed by a novel treatment approach using a unilateral cap splint with interelastic traction.

  1. Abbood AA, Lateef Hassan TA. Treatment of pediatric mandibular Ali Ahmed fractures utilizing the open cap splint: a clinical study. J Res Med Dent Sci 2021;9(2):36–42.
  2. John B, John RR, Stalin A, et al. Management of mandibular body fractures in pediatric patients: a case report with review of literature. Contemp Clin Dent 2010;1(4):291–296. DOI: 10.4103/0976-237X.76406
  3. Kumar N, Kumar A, Syreen S, et al. Circummandibular wiring: a treatment approach toward management of mandibular fracture in children. Int J Clin Dent Res 2017;1(1):37–39. DOI: 10.5005/jp-journals-10060-0008
  4. Madan N, Bajaj N. Conservative treatment of pediatric mandibular fracture with removable acrylic splint. Ind J Dent Sci 2010;2(4):22–24.
  5. Kaban LB. Facial trauma I: midface fractures. In: editor. Pediatric Oral and Maxillofacial Surgery. Philadelphia, PA: WB Saunders; 1990. pp. 209–232.
  6. Hiremath MC, Srinath SK, Kumar AS, et al. Management of minimally displaced mandibular fracture with customized open cap splint in an 11-year child: A case report. Contemp Pediatr. 2022;3(2):80–85.
  7. Aizenbud D, Hazan-Molina H, Emodi O, et al. The management of mandibular body fractures in young children. Dent Traumatol 2009;25(6):565–570. DOI: 10.1111/j.1600-9657.2009.00815.x
  8. Kaban LB, Mulliken JB, Murray JE. Facial fractures in children: an analysis of 122 fractures in 109 patients. Plast Reconstr Surg 1977;59(1):15–20. DOI: 10.1097/00006534-197701000-00002
  9. Albeshir H, Ahmed SW, Awaji M, et al. Pediatric maxillofacial injuries in madinah - a retrospective study. J Public Health Policy Plan 2018;2(2):73–80.
  10. Aizenbud D, Emodi O, Rachmiel A. Nonsurgical orthodontic splinting of mandibular fracture in a young child: 10-year follow-up. J Oral Maxillofacial Surg 2008;66(3):575–577. DOI: 10.1016/j.joms.2007.09.022
  11. Bali R, Sharma P, Jindal S, et al. Bone resorption after bioresorbable fixation of a fractured paediatric mandible–a case report. Oral Surg 2011;4(1):48–50. DOI: 10.1111/j.1752-248X.2010.01107.x
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