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使用正畸矫治器治疗小儿颌骨骨折：病例系列

Management of Jaw Fractures in Pediatric Patients Using Orthodontic Appliances: A Case Series.

作者信息

Ratre Ram Kishore, Newaskar Vilas, Kanesh Abhilasha, Afeefa P, Ghosh Deepteash

机构信息

Department of Orthodontics and Dentofacial Orthopedics, Government Autonomous College of Dentistry, Indore, Madhya Pradesh, India.

Department of Oral and Maxillofacial Surgery, Government Autonomous College of Dentistry, Indore, Madhya Pradesh, India.

出版信息

Int J Clin Pediatr Dent. 2025 Aug;18(8):1018-1022. doi: 10.5005/jp-journals-10005-3196. Epub 2025 Sep 4.

DOI:10.5005/jp-journals-10005-3196
PMID:40989972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12451585/
Abstract

AIMS

Mandibular fractures are common in pediatric patients due to active lifestyles, with the mandible being the most frequently fractured facial bone. In children, fractures are often greenstick, requiring careful management to avoid disrupting growth and dentition. Conventional treatments, such as intermaxillary fixation (IMF) using arch bars, can be challenging in mixed dentition. This case series explores the use of orthodontic appliances as an alternative approach for managing pediatric mandibular fractures.

CASE DESCRIPTION

Three pediatric patients with mandibular fractures were treated using orthodontic appliances for IMF-case 1: a 9-year-old male with a left mandibular angle fracture was treated with stainless steel brackets and elastics for 2 weeks. Follow-up showed full recovery with no pain or occlusal issues. Case 2: a 6-year-old male with bilateral condylar and symphyseal fractures was treated with brackets on all teeth up to the deciduous second molars. After 2 weeks, improved occlusion and mouth opening were noted. Case 3: a 6-year-old female with a right condylar fracture showed improved occlusion and symptom resolution after 2 weeks of treatment.

CONCLUSION

Orthodontic appliances provide a noninvasive alternative for IMF in pediatric mandibular fractures. They offer stable fixation, preserve developing dentition, and reduce the need for invasive procedures, ensuring proper healing.

CLINICAL SIGNIFICANCE

Orthodontic appliances are a viable treatment option for pediatric mandibular fractures, especially in mixed dentition. This approach enhances patient comfort, improves oral hygiene, and avoids complications associated with traditional fixation methods, making it an effective tool in pediatric trauma care.

HOW TO CITE THIS ARTICLE

Ratre RK, Newaskar V, Kanesh A, . Management of Jaw Fractures in Pediatric Patients Using Orthodontic Appliances: A Case Series. Int J Clin Pediatr Dent 2025;18(8):1018-1022.

摘要

目的

由于儿童活跃的生活方式，下颌骨骨折在儿科患者中很常见，下颌骨是面部最常发生骨折的骨骼。在儿童中，骨折通常为青枝骨折，需要谨慎处理以避免干扰生长和牙列。传统治疗方法，如使用牙弓夹板进行颌间固定（IMF），在混合牙列中可能具有挑战性。本病例系列探讨了使用正畸矫治器作为治疗儿童下颌骨骨折的替代方法。

病例描述

三名患有下颌骨骨折的儿科患者使用正畸矫治器进行颌间固定治疗——病例1：一名9岁男性，左侧下颌角骨折，使用不锈钢托槽和弹力线治疗2周。随访显示完全康复，无疼痛或咬合问题。病例2：一名6岁男性，双侧髁突和颏部骨折，对所有牙齿直至乳磨牙均使用托槽进行治疗。2周后，咬合和开口情况有所改善。病例3：一名6岁女性，右侧髁突骨折，治疗2周后咬合改善，症状缓解。

结论

正畸矫治器为儿童下颌骨骨折的颌间固定提供了一种非侵入性替代方法。它们提供稳定的固定，保护发育中的牙列，并减少侵入性操作的需求，确保骨折顺利愈合。

临床意义

正畸矫治器是治疗儿童下颌骨骨折的一种可行选择，尤其是在混合牙列期。这种方法可提高患者舒适度，改善口腔卫生，并避免与传统固定方法相关的并发症，使其成为儿科创伤护理中的一种有效工具。

如何引用本文

Ratre RK, Newaskar V, Kanesh A, . 使用正畸矫治器治疗儿科患者颌骨骨折：病例系列。《国际临床儿科牙科学杂志》2025年；18(8):1018 - 1022。

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