Management of Mandibular Fracture and Acute Dental Trauma under General Anesthesia

Pediatric mandibular fractures account for one-third of all facial fractures. Proper diagnosis and early intervention of mandibular fractures is necessary in avoiding long-term complications such as malocclusion, TMJ dysfunction, and sensory nerve disturbances, therefore treatment often necessitates consultations across the different specialties: ENT, pediatric dentistry, endodontics, orthodontics, and orofacial pain. When facial trauma concurs with dental trauma, the subsequent effects on supporting structures will need to be highly considered as it can significantly alter treatment plan approaches. This case report details the multidisciplinary management of a seven-year old male who presented to the Loma Linda University Children's Hospital with bilateral mandibular condylar fractures, maxillary alveolar fracture, and laterally luxated maxillary central incisors. From emergency department triage to two instances of complete oral dental rehabilitation in the operating room and then multiple follow-up visits in the pediatric dental clinic, this presentation demonstrates the importance of multidisciplinary involvement in comprehensive treatment planning and predicting long-term outcomes when faced with a trauma case.