Combination of Open and Closed Reduction Methods in the Treatment of Multiple Mandible Fractures

Mandible fracture is defined as a loss of continuity of the mandible bone. Loss of continuity of the mandible bone can have fatal consequences if not treated properly. Classification of mandibular fractures based on anatomic location can occur in the condyle, coronoid, ramus, mandibular angle, mandibular corpus, symphysis, parasymphysis, and dentoalveolar. This case report aims to explain the management of multiple mandibular fractures with closed and open reduction approaches. The desired outcome for these patients is to restore the patient’s maxillary and mandibular (occlusion) relation, who have experienced an occlusion shift due to mandible fracture. Case report: Three cases of multiple mandible fractures. In a panoramic examination obtained a picture of several fracture lines in the mandible with two or more fracture lines. Treatment is carried out using open reduction and closed reduction techniques. As an initial treatment, interdental wiring was installed and followed by ORIF using a mini screw and plate. Then intermaxillary fixation (IMF) is done using elastic bands in the anterior and posterior regions. Conclusion: This case concludes that the reconstruction of mandibular mutilated fractures using open reduction and close reduction techniques can be carried out continuously in multiple mandibular fractures.