الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 122 |  |  |
| | | from | 122 | | |
Abstract
SUMMARY
The current study aimed to evaluate two treatment modalities for management of pediatric mandibular fractures. The present study has been randomly divided the patients into two equal groups. Group one treated through open reduction and internal fixation by using biodegradable plates and screws, under general anesthesia. While, group two were conservatively treated through closed reduction and indirect fixation by using acrylic labio-lingual splint and circummandibular wiring under local anesthesia and conscious sedation. In group one: All surgical procedures performed under general anesthesia. All fractures were approached intra-orally. Fractures were reduced and fixed using (2.5mm) biodegradable plates and screws. In cases of group two: Patients treated under local anesthesia and conscious sedation in the Out patient Clinic Two to four circummandibular wires were inserted by using the bone awl for stabilization of the splint around the fractured segments. For both groups: The patients were followed up clinically, radiographically and radiodensitometrically. At the end of postoperative follow up periods: Clinical and radiographic results obtained from this study showed uneventful healing for all fractures. Pre-traumatic occlusion was corrected, and normal shedding and eruption processes were observed. Also neither injury to the tooth apices nor damage to the tooth germs was observed. Moreover; there was a non statistical significance difference between both groups that afford the priority of one treatment than the other. So the selection of either treatment modality depend on many concerns, like material availability within a short time between (DOA) and (DOS), operator skills, medical status of the patients and socioeconomic status of the patients guardians.