Dental Treatment in Kanpur: Mandible Fracture Treatment at Kanpur Dentists by Dr Mayank Saxena

The Incidence of Facial Injuries has been on the rise since the advent of High Speed Motor Vehicles. But in recent times, we have seen a decrease of such injuries in developed cities due to the strict rules regarding compulsory seat belts for four wheelers and helmets for two wheelers.

Nevertheless, underdeveloped cities and developing cities like Kanpur (As per the Indian standard) still witness a large scale flouting of these norms and the resultant effect has been an increase in Head and Facial Injuries.



Recently, a young female reported to us with fracture in her lower jaw at 2 places. (Right and Left Parasymphysis) She was a victim of a road traffic accident and was riding as a pillion when the two wheeler collided with a stray animal. We controlled the bleeding and stabilized her vitals as soon as she reported to us.



We ordered an X-ray OPG (Orthopantomogram) and the diagnosis for Bilateral Compound Displaced Fracture Mandible at right and Left Parasymphysis was confirmed.



The patient had difficulty in talking as well as during eating and swallowing. She also suffered a sensory loss in her lower lip as a result of injury to her mental nerve.

We decided to operate her and apply internal fixation as she desired fast recovery of form as well as function (eating, drinking, talking etc). She was operated under general anesthesia and the surgical site was exposed intraorally.
One of the greatest disadvantage of a skin incision would have been facial scar, therefore we took great care to minimise post operative discomfort, both physical as well as psychological.



We decided to apply Locking Miniplates of Stryker Lebinger as they function as internal as well as external fixators.



Two plates each were applied to her parasymphysis, both right and left.



As these plates are state of the art rigid fixators, we did not place the patient on intermaxillary ligation.

She resumed her normal functions (eating, drinking, talking) from the very next day; though we advised soft diet for the first 2 weeks.




Post operatively, the occlusion of teeth was excellent and the X-rays confirmed bony union and healing.