Got it ✅ You want a complete SEO-optimized case blog for your website, covering:

• A 40-year-old female patient

• Multiple mandibular fractures: angle, parasymphysis, condyle, coronoid (6 segments)

• Diagnosis done with OPG (Orthopantomogram)

• Treatment: Initial IMF (Intermaxillary Fixation) → Open reduction + internal fixation with plating → Closure with sutures

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Case Study: Treatment of Multiple Mandibular Fractures in a 40-Year-Old Female Patient

Introduction

Facial trauma cases involving mandibular fractures are among the most common maxillofacial emergencies seen in dental and surgical practice. A fractured jaw not only causes severe pain and swelling but also affects chewing, speech, and overall facial aesthetics. In this blog, we present a rare case of multiple mandibular fractures in a 40-year-old female patient, including angle fracture, parasymphysis fracture, condylar fracture, and coronoid fracture—all treated successfully with intermaxillary fixation (IMF) and plating.

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Case Presentation

A 40-year-old female patient reported to Muskan Dental Care & Orthodontic Centre, Deoghar with complaints of:

• Severe pain in the lower jaw

• Difficulty in mouth opening and chewing

• Swelling and facial asymmetry

• Malocclusion due to displacement of fractured segments

Diagnostic Evaluation

• Clinical Examination: Step deformity and mobility in lower jaw segments.

• Radiographic Diagnosis: Orthopantomogram (OPG) was performed, which revealed multiple mandibular fractures involving:

  • Right angle region

  • Parasymphysis region

  • Bilateral condylar involvement

  • Coronoid fracture

  • Total of 6 fracture segments

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Treatment Plan

The treatment was planned in two steps:

1. Initial Stabilization with Intermaxillary Fixation (IMF)

   • IMF was done to achieve temporary occlusion and stability.

   • Elastic bands were used to immobilize the segments.

2. Definitive Surgical Management with Open Reduction and Internal Fixation (ORIF)

   • Reduction of fractured segments under general anesthesia.

   • Plating with mini-plates and screws in parasymphysis and angle regions.

   • Condylar and coronoid fractures aligned with supportive stabilization.

   • Wound closure was done with proper suturing technique.

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Postoperative Care & Outcome

• Patient was kept on antibiotics, analgesics, and soft diet.

• Regular follow-up showed good healing and restored occlusion.

• After 4 weeks, IMF was removed and normal function resumed.

• Patient regained facial symmetry, pain relief, and chewing efficiency.

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Discussion

Mandibular fractures involving multiple sites (angle, parasymphysis, condyle, coronoid) are challenging to manage due to complex anatomy and functional requirements. The combination of IMF for stabilization and plating for long-term fixation provided excellent results in this case.

Key Points:

• Early diagnosis with OPG is critical.

• IMF ensures temporary stabilization.

• Plating (ORIF) restores function and aesthetics.

• Timely intervention prevents complications like malunion, infection, and TMJ dysfunction.

Conclusion

This case highlights the importance of early diagnosis and a combined treatment approach in managing complex mandibular fractures. With the right surgical planning, even multiple jaw fractures in six segments can be treated successfully, restoring function, aesthetics, and patient confidence.

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• Muskan Dental Care Deoghar