Iatrogenic Fracture of the Mandible During Tooth Extraction in a Pediatric Patient with Sanjad–Sakati Syndrome

Sanjad–Sakati syndrome is an autosomal recessive disorder with high prevalence among the Arab population. It is characterized by congenital hypoparathyroidism, hypocalcemia, and growth and mental retardation with distinct phenotypic features. Mandibular iatrogenic fracture is the most serious side effect following tooth extraction. We report on an 8-year-old girl with Sanjad–Sakati syndrome, admitted for dental rehabilitation under general anesthesia. Unfortunately, mandibular fracture occurred during the extraction of the left mandibular first permanent molar due to the small size of the mandible, hypocalcemia, and inappropriate surgical technique. As a result, the patient was kept intubated in the pediatric intensive care unit until mandibular fracture fixation surgery was completed the next day. Comprehensive planning, radiographic evaluation, and proper surgical techniques should be used to mitigate the risk of mandibular iatrogenic fracture. We explain what should be performed in similar cases to prevent such an unfortunate complication.