# Flexible Splinting: A Minimally Invasive Approach to Managing a Pediatric Mandibular Fracture With Traumatic Bone Loss

## TL;DR

A child with a mandibular fracture and bone loss healed successfully using a minimally invasive splinting method.

## Contribution

Demonstrates a conservative, growth-preserving treatment for pediatric mandibular fractures with traumatic bone loss.

## Key findings

- Flexible splinting led to complete bone formation at the fracture site after 12 months.
- The approach preserved growth potential and avoided complications.
- Minimal segmental mobility and intact occlusion allowed for conservative treatment success.

## Abstract

Pediatric mandibular fractures necessitate a specialized treatment approach due to the complexities of craniofacial development, dentition, and active bony growth centers. This case report describes the management of an eight-year-old boy who sustained a mandibular fracture with the traumatic loss of a triangular bone fragment following a fall. Clinical and radiographic evaluation confirmed a compound comminuted fracture of the mandibular body. Given the minimal segmental mobility and intact occlusion, a conservative approach using flexible splinting with composite and braided stainless steel wire was adopted. The patient showed successful healing with complete bone formation at the fracture site after 12 months of follow-up. This case underscores the effectiveness of a minimally invasive approach for managing pediatric mandibular fractures, with the added benefits of preserving growth potential and minimizing complications.