Case Report

Open Reduction And Internal Fixation (orif) Using Mini Plate In Mandibular Fractures

Abstract :

The mandible is the lower jaw bone in humans as a place of attachment to the lower jaw teeth. The loss of continuity in the mandible includes 40% - 62% of all facial fractures, the ratio of men and women, namely 3: 1-7: 1. According to a survey at the District of Columbia Hospital, of 540 fracture cases, 69% of cases occurred due to physical violence (fights), 27% due to traffic accidents, 12% due to work accidents, 2% due to sports accidents and 4% due to pathology.1,2 The gold standard for diagnosing mandibular fractures is a clinical examination. Examination is done carefully in areas with suspected fractures. Clinical examination is equipped with radiography for diagnosis and therapeutic planning. In particular, treatment of mandibular and facial fractures on the face (maxillofacial) was introduced by Hippocrates (460-375 BC) using occlusion guidance (the ideal relationship between the lower teeth and maxillary teeth), as a rationale and diagnosis of mandibular fractures. 1,2 The initial stages of mandibular fracture handling are emergencies, such as airway, breathing, blood circulation including handling of the circulation, temporary immobilization, and evaluation of possible brain injury. The next step is definitive fracture handling, namely reduction / repositioning of fracture fragments in closed (close reduction) and open (open reduction), followed by fixation techniques such as the use of head bands. This principle must be applied to mandibular fractures in order to restore normal stomatognathic function as early as possible. This case report aims to determine the management of mandibular fractures with Open Reduction and Internal Fixation (ORIF) using mini plate. 1,2

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