A fracture of the physique of the mandible might affect the inferior alveolar nerve, leading to numbness of the teeth or chin. Displaced fractures may also affect the lingual nerve, which innervates the anterior two thirds of the tongue, or they could affect the long buccal nerve, which provides sensation to the cheek mucosa and corner of the lip. Assessment of occlusion is more difficult within the child than in the grownup. Children often shouldn’t have a full complement of teeth.
Information of pretraumatic occlusal status is necessary in evaluation and treatment. In adults, put on sides are useful, notably when different severe injuries are present. In children, dental wear will not be obvious. Mandibular fractures carry the highest fee of associated accidents in pediatric patients with facial fractures. In Kaban’s 1977 sequence,four 22 of 29 pediatric patients with mandibular fractures had other accidents, principally confined to the head and face, which included 1 cervical spine injury.
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