Surgical Repositioning of Developing Canine and Circummandibular Wire Fixation of Parasymphysis Fracture in a Four Year Old Child: A 1 - Year Follow up Case Report

Mandibular fractures are the most common (56%) facial skeletal injury with a prevalence of 0.6-1.4% below the age of five. This is attributed to the constant supervision of parents and is seen to increase as child begin school peaking during puberty and adolescence due to increased sport and unsupervised physical activity.

The goal while treating Paediatric fractures is to ensure bony union, normal occlusion, restore normal form and function, and avoid impediments to normal growth. Management of mandibular fractures in paediatric patients depends upon the fracture type, site of fracture & the phase of dental and skeletal development.

The Authors managed to treat a 4-year old Parasymphyseal fracture associated with inversion of permanent canine tooth bud using surgical repositioning and Circummandibular wire fixation.