The second molars erupt at age 12 years. Because the young patient has a high ratio of cancellous to cortical bone and a thick layer of comfortable tissue masking, greenstick fractures are widespread. Rapid healing occurs in pediatric bone, and the very best reduction is obtained within 5 days. Nonetheless, if callus is already formed, a slight discrepancy in primary occlusion is acceptable. Some extent of purposeful remodeling can be anticipated. Don’t neglect an entire trauma evaluation.
Youngsters with mandibular fractures are at risk for airway compromise due to the direct trauma, swelling, or hematoma that causes obstruction or impaired consciousness. Typically, airway administration may be accomplished with positioning. However, presume cervical spine injuries till excluded. Suction the oropharynx of debris and blood as necessary. Fractures of the mandibular arch might allow a bony phase to be displaced posteriorly.
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