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4Fractures with contralateral condylar 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 (condyle) are usually treated secondarily.
Most commonly, the fracture through the body/symphysis is treated using stable fixation. This offers the choice of treating the condyle fracture closed or open.

One has the choice of various stable/rigid fixation schemes for the fracture of the body/symphysis. One can use two miniplates, a heavy locking plate 2.0, or a reconstruction plate.