正畸托槽在治疗儿童下颌骨骨折中的应用

Rajeev Pandey, Anit Khatri, R. Gupta, N. Bhagat
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引用次数: 3

摘要

与成人相比,儿童下颌骨骨折相对不常见。儿童下颌骨骨折的治疗是一个非常复杂的问题,需要准确和早期的治疗。尽管治疗的一般原则与成人相同,但影响治疗选择的因素多种多样:年龄、牙列状况、涉及部位、移位量、骨折数量和社会经济地位。本病例报告描述了一种保守的方法来治疗中度移位的下颌骨骨折,该方法是在使用正畸托槽的弹性体的帮助下,使用颌间固定(IMF)实现闭合复位。应用该技术治疗一名9岁男性儿童下颌骨体部骨折。3周后取出IMF,并通过临床和放射学证明骨愈合良好。
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Use of orthodontic brackets for intermaxillary fixation for management of mandibular fracture in a pediatric patient
Fracture of mandible is relatively less common in pediatric population when compared to adults. Management of pediatric mandibular fracture is a very complex issue and requires accurate and early treatment. Although the general principles of treatment remain the same as adult but various factors which influence the choice of management: age, dentition status, site involved, amount of displacement, number of fractures, and socioeconomic status. This case report describes a conservative way of management of moderately displaced mandibular fracture with the help of closed reduction achieved using intermaxillary fixation (IMF) with help of elastics using orthodontic brackets. A 9-year-old male child was treated for body of mandible fracture using this technique. The IMF was removed after 3 weeks and adequate bone union was demonstrated clinically and radiographically.
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