International Journal of Clinical Pediatric Dentistry

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  17 (2024)
Volume  16 (2023)
Volume  15 (2022)
Volume  14 (2021)
Volume  13 (2020)
Volume  12 (2019)
Volume  11 (2018)
Volume  10 (2017)
Volume  9 (2016)
Volume  8 (2015)
Volume  7 (2014)
Volume  6 (2013)
Volume  5 (2012)
Volume  4 (2011)
Volume  3 (2010)
Volume  2 (2009)
Volume  1 (2008)
Related articles

VOLUME 6 , ISSUE 3 ( September-December, 2013 ) > List of Articles

CASE REPORT

Miniplate for Osteosynthesis in a 9-Year-Old with Symphysis Fracture: Clinical Report

Ila Srinivasan, Udhya Jaganathan, Arihant Bhandari

Keywords : Symphysis fracture, Open reduction and rigid internal fixation, Miniplate, Osteosynthesis

Citation Information : Srinivasan I, Jaganathan U, Bhandari A. Miniplate for Osteosynthesis in a 9-Year-Old with Symphysis Fracture: Clinical Report. Int J Clin Pediatr Dent 2013; 6 (3):213-216.

DOI: 10.5005/jp-journals-10005-1222

License: CC BY-NC 4.0

Published Online: 01-10-2018

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

Osteosynthesis using minimum material in pediatric mandibular fractures is the key, due to the limited space available in the mandible, especially in the mental foramen and apical region. There is an important role of open reduction and rigid internal fixation in re-establishing facial height, width and projection. During the early years of growth and development, there is a high osteogenic potential of the bones. The thick periosteum allows for rapid consolidation and remodeling at the site of fracture. Primary teeth have short, bulbous crowns which compromise stable maxillomandibular fixation during fracture reduction and stabilization using traditional methods. Further, stability of the fractured segments may be hampered because of the displaced or mobile permanent anterior teeth in the mixed dentition along the line of fracture. This clinical report outlines the use of miniplate with monocortical screws in a 9-year-old boy with symphysis fracture. How to cite this article: Srinivasan I, Kumar N, Jaganathan U, Bhandari A. Miniplate for Osteosynthesis in a 9-Year-Old with Symphysis Fracture: Clinical Report. Int J Clin Pediatr Dent 2013;6(3):213-216.

PDF Share
  1. Posnick JC, Wells M, Pron G. Pediatric facial fractures: Evolving patterns of treatment. J Oral Maxillofac Surg 1993;51(8): 836-844.
  2. Hogg NJV, Horswell BB. Clinical practice. JCDA 2006; 72(6):555-558.
  3. Champy M, Lodde JP. Localisation des syntheses en fonction des contraintesmandibulaires. Rev Stomatol 1976;77:971-976.
  4. Champy M, Wilk A, Schnebelen JM. Die Behandlung von Mandibularfrakturen mittels Osteosynthese ohne intermaxilläre Ruhigstellung nach der Technik von F.X. Michelet. Zahn Mund und Kieferheilk 1975;63:339.
  5. Champy M. Biomechanische grundlagen der Straßburger Miniplattenosteosynthese. Dtsch Zahnärztl Z 1983;38:358-360.
  6. Gerlach KL, Pape HD. Prinzip und Indikation der Miniplattenosteosynthese. DtschZahnarztl Z 1980;35:346-348.
  7. Kushner GM, Tiwana PS. Fractures of the growing mandible. Atlas Oral Maxillofac Surg Clin North Am 2009;17(1):81-91.
  8. Feller KU, Richter G, Schneider M, Eckelt U. Combination of microplate and miniplate for osteosynthesis of mandibular fractures: an experimental study. Int J Oral Maxillofac Surg 2002;31(1):78-83.
  9. Zimmermann CE, Troulis MJ, Kaban LB. Pediatric facial fractures; recent advances in prevention, diagnosis and management. Int J Oral Maxillofac Surg 2006;35(1):2-13.
  10. Haug RH, Foss J. Maxillofacial injuries in the pediatric patient. Oral Surg Oral Med Oral Path 2000;90(2):126-134.
  11. Gassner R, Tuli T, Hachl O, Moreira R, Ulmer H. Craniomaxillofacial trauma in children: a review of 3,385 cases with 6,060 injuries in 10 years. J Oral Maxillofac Surg 2004; 62(4):399-407.
  12. Eppley BL. Use of resorbable plates and screws in pediatric facial fractures. J Oral Maxillofac Surg 2005;63(3):385-391.
  13. Hardt N, Gottsauner A. The treatment of mandibular fractures in children. J Craniomaxillofac Surg 1993;21(5):214-219.
  14. Siegel MB, Wetmore RF, Potsic WP, Handler SD, Tom LW. Mandibular fractures in the pediatric patient. Arch Otolaryngol Head Neck Surg 1991;117(5):533-536.
  15. Anderson PJ. Fractures of the facial skeleton in children. Injury 1995;26(1):47-50.
  16. Heitsch M, Mohr C, Schettler D. Indications for the surgical treatment of midfacial fractures in children. Dtsch Zahnarztl Z 1990;45(12):803-805.
  17. Smartt JM Jr, Low DW, Bartlett SP. Pediatric mandible. Plastic and reconstructive surgery. 2005;116(2):28e-41e.
  18. Gawelin PJ, Thor AL. Conservative treatment of paediatric mandibular fracture by the use of orthodontic appliance and rubber elastics: report of a case. Dent Traumatol 2005;21(1): 57-59.
  19. Chen CM, Chen YR. Mandibular fractures in childrenimmediate reduction and fixation with orthodontic resin. Changgeng Yi Xue Za Zhi 1990;13(1):39-47.
  20. Yarington CT Jr. Maxillofacial trauma in children. Otolaryngol Clin North Am 1977;10:25-32.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.