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VOL. 8, ISSUE 3 (2026)
Open acrylic cap splint-assisted management of bilateral condylar and symphysis fractures in a 3-year-old child: A case report
Authors
Dr. Sanket Vijay Parmalkar, Dr. Dinesh Rao, Dr. Sunil Panwar
Abstract
Pediatric mandibular fractures are relatively uncommon and require
specialized management because of developing dentition, active craniofacial
growth, and limited patient cooperation. Conservative treatment modalities are
preferred whenever possible to minimize damage to growth centres and developing
tooth buds. This case report describes the management of a 3-year-old
male child who sustained a mandibular symphysis fracture associated with
bilateral condylar fractures and a dentoalveolar injury following a fall from a
terrace. Clinical examination revealed facial swelling, pain, restricted mouth
opening, mandibular mobility, occlusal discrepancy, and mobility of teeth 51
and 52. Radiographic evaluation using posteroanterior mandibular radiography
and cone beam computed tomography confirmed the diagnosis. Treatment was
performed under general anesthesia using an open acrylic cap splint retained
with circum-mandibular wiring and supported by orthodontic brackets with
elastics. Follow-up demonstrated satisfactory healing, restoration of
occlusion, improved function, and uneventful recovery. The present case
highlights the effectiveness of open acrylic cap splint therapy as a minimally
invasive and growth-preserving treatment option for complex mandibular
fractures in young children.
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Pages:27-31
How to cite this article:
Dr. Sanket Vijay Parmalkar, Dr. Dinesh Rao, Dr. Sunil Panwar "Open acrylic cap splint-assisted management of bilateral condylar and symphysis fractures in a 3-year-old child: A case report". International Journal of Dental Sciences, Vol 8, Issue 3, 2026, Pages 27-31
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