Atraumatic Management of Mandibular Fractures in Pediatric Patients: Cap Splint

Pediatric mandibular fractures, although less common than in adults, represent a significant portion of facial injuries in children, typically resulting from falls, sports, or motor vehicle accidents. Due to the unique biomechanical properties of the developing mandible, such as its increased elasticity and osteogenic potential, these fractures often present distinct patterns and require specialized management strategies. Conventional treatment methods, including open reduction and internal fixation, carry risks like damage to tooth buds and interference with mandibular growth. Cap splints, a minimally invasive alternative, have emerged as an effective method for managing pediatric mandibular fractures. Custom-fabricated acrylic appliances, used with circumferential wiring or orthodontic elastics, provide stable fixation while sparing tooth buds and minimizing soft tissue trauma. This review discusses the indications, fabrication protocols, and clinical outcomes associated with cap splints, emphasizing their role in optimizing fracture healing, maintaining occlusal integrity, and preserving long-term mandibular development. Case reports demonstrate favorable results, supporting cap splints as a safe and effective treatment modality in pediatric mandibular fracture management