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3Bilateral fractures

Multiple fractures

Treatment considerations

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 secondarily.

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 fixation.