Fractures in the tooth-bearing area of the anterior mandible are generally
treated first to establish the ideal occlusion. Fractures in the
nontooth-bearing area (posterior body/angle/ramus/condyle) are usually treated
Most commonly, the angle fracture is treated with one miniplate fixation
(Champy) and the contralateral fracture through the body/symphysis is treated
with more rigid fixation.
Various fixation schemes are available for the fracture of the
body/symphysis eg, two miniplates, a large, or extra-large profile locking
plate 2.0, or a reconstruction plate.
The surgeon has the option of treating both fractures with rigid internal