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Dentistry · Oral and maxillofacial surgery: fixation of mandibular fractures
Sample itemA patient has a displaced mandibular angle fracture with malocclusion. Which method best restores occlusion and stable healing?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Open reduction with miniplate fixation and occlusion confirmed by intermaxillary fixation
Displaced mandibular fractures are reduced anatomically, with the teeth placed in occlusion, and fixed with miniplates or lag screws. Intermaxillary fixation holds the occlusion during fixation or alone for minimal displacement.
Option by option
A. Open reduction with miniplate fixation and occlusion confirmed by intermaxillary fixation (correct)
Correct. Reduction with rigid fixation re-establishes occlusion.
B. Soft diet with no reduction
Soft diet alone leaves a displaced malocclusion.
C. Skull traction
Skull traction is for cervical spine injuries.
D. Cervical collar only
A collar does not treat jaw fractures.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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