PMC5996639_01
Fracture on the right para symphysis region
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F1
Intraoral examination revealed a vertical fracture line between right mandibular primary lateral incisor and primary canine associated with medially displaced left mandibular dentoalveolar segment with step deformity and altered occlusion leading to an open mouth appearance [Figure 1].
Orthopantomogram X-ray showing fracture on the right para symphysis region
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F2
Preoperative orthopantamogram (OPG) was taken [Figure 2], which confirmed right parasymphisis fracture.
Circummandibular wiring done bilaterally
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F3
The same procedure was repeated on the left side [Figure 3].
Orthopantomogram X-ray showing circummandibular wiring is done bilaterally
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F4
Postoperative OPG was taken with circum mandibular wires in place [Figure 4].
Four weeks after follow-up
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F5
The patient was reviewed every week and on the fourth postoperative week, the circum mandibular wiring and splint was removed under ketamine sedation, and OPG is taken [Figures 5 and 6].
Four weeks after removal of wire
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F6
The patient was reviewed every week and on the fourth postoperative week, the circum mandibular wiring and splint was removed under ketamine sedation, and OPG is taken [Figures 5 and 6].