A Simplified Digital Workflow for the Treatment of Pediatric Mandibular Fractures Using Three-Dimensional (3D) Printed Cap Splint: A Case Report

Abstract

Pediatric mandibular fracture needs special consideration by clinicians. The management of pediatric mandibular fracture differs from that in adults considering the presence of tooth germs and the potential for mandibular growth. One of the most common forms of conservative management for pediatric mandibular fractures is the use of cap splint along with circummandibular wiring. The conventional workflow prior to performing surgery with this technique is impression taking and dental model fabrication. Additionally, it is also recommended that mock surgery should be performed to achieve proper reduction before acrylic splint fabrication. However, these procedures are effortful and time consuming when performed under general anesthesia during surgery and require additional sedation if performed prior to surgery. The aim of this case report is to describe a simpler preoperative digital workflow for the treatment of pediatric mandibular fractures, in which closed reduction is achieved with a three-dimensional printed cap splint stabilized with circummandibular wiring under general anesthesia.