Diagnosis and Management of Patients with Neglected Fractures of The Mandibular Parasymphysis : Case Report.

Introduction: Neglected mandibular fractures can interfere with mastication, swallowing, speech, and facial appearance. Neglected fractures also make treatment procedures difficult. Correct diagnosis and treatment are essential to prevent complications. Case report: A 22-year-old male patient came with a complaint of a fracture of the mandible, which was caused by a traffic accident about three weeks previously and had not been treated. The diagnosis, in this case, was a neglected fracture in the left mandibular parasymphysis region, with clinical symptoms of malocclusion characterized by an edge-to-edge incisor relationship and a cusp-to-cusp relationship of the right posterior teeth. The treatment carried out was ORIF with the installation of 2 titanium plates which had previously been refractured at the fracture line. Conclusion: Neglected mandibular fractures can occur due to slow or inappropriate treatment. In treating neglected fractures, refracturing is necessary to obtain optimal occlusion and function. ORIF treatment, in this case, is the treatment of choice with optimal results and minimal complications Keywords: mandibular fracture, parasymphysis, open reduction, neglected fracture