Conservative approach in the management of mandibular fractures in the early dentition phase. A case report and review of the literature

A case is described of the management of bilateral fractures of mandible as a result of being kicked by a horse, in a 2-year-old child. The fractures were treated without any surgical intervention and the child made a good recovery with good function and appearance. The fractured mandible in children under the age of 5 years provides us with difficult treatment options. By encompassing the anatomical and developmental potential of facial tissues, both hard and soft, the majority of these cases can be managed conservatively. This negates the disadvantages of attempting potentially growth disturbing interventional surgery.