About The Case

A 42-year-old male presented to the Oral and Maxillofacial Surgery (OMFS) Department of a specialized dental center nine days after sustaining injuries in a road traffic accident. Immediately following the accident, he received primary treatment at an emergency department and was subsequently referred to the OMFS department for definitive management. Clinical examination revealed malocclusion with an open intraoral wound located between teeth 32 and 33. The patient was unable to close his mouth properly due to premature contact of the right posterior teeth, resulting in a posterior open bite on the contralateral side. His medical and personal histories were non-contributory. Radiographic evaluation using an orthopantomogram (OPG) demonstrated multiple mandibular fracture lines. One fracture was identified between teeth 32 and 33 on the left side, while another fracture line extended from the deepest point of the sigmoid notch to the lateral border of the mandibular ramus, passing beyond the mandibular foramen. Routine pre-anesthetic investigations were performed, and all findings were within normal limits. Based on the clinical and radiographic findings, the patient was admitted for open reduction and internal fixation (ORIF) of the mandibular fractures.

July 2026