Tania Saskianti, - and Aisyah Marwah, - and Udijanto Tedjosasongko, - and Ardianti Maartrina Dewi, - and Brian Maulani, - and Luluk Rahmawati, - (2022) Modified Closed Cap Splint for Symphysis/Parasymphysis Mandibular Fracture Management: A Case Report. Journal of International Dental and Medical Research, 15 (3). pp. 1320-1325. ISSN 1309-100X

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Abstract

The most common type of fracture in children is a mandibular fracture with an incidence rate of 56%, followed by symphysis/parasymphysis fractures which occur 15-20% of the time. Repositioning of teeth and jaws is necessary to restore function, aesthetics, and prevent pathological conditions of bone structure. A 9-year-old boy was referred to the Universitas Airlangga Hospital with oral bleeding, tooth mobility, and a shift in lower jaw position after an accident. Fractures and abnormalities in the position of the symphysis/parasymphysis were discovered, alongwith avulsion of teeth. Wound cleaning and suturing were performed on the mandibular symphysis/parasymphysis fracture segment, followed by the placement of a modified closed cap splint on the 7th day. Modified closed cap splint is safe and effective for pediatric mandibular fractures, especially in the symphysis/parasymphysis region.

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