Drilling monocortical holes
It is necessary to predrill two monocortical holes below the apices of the teeth on either side of the fracture to help place the reduction forceps. Manipulate the mandible fragments until anatomic reduction is achieved. Apply the reduction forceps and then place the patient into occlusion and secure with MMF.
Some surgeons prefer to place the patient into occlusion and apply MMF before using the reduction forceps.