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Mandibular Angle Fracture Treatment — NDEB AFK MCQ

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ModerateOral SurgeryMandibular Angle Fracture TreatmentNDEB AFK

What is the most appropriate management of a fractured mandibular angle with displacement in a 25-year-old healthy patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BOpen reduction and internal fixation (ORIF) with plates and screws

Displaced mandibular angle fractures in a healthy adult are best treated with open reduction and internal fixation (ORIF) using titanium miniplates and monocortical screws (Champy technique: single miniplate along the external oblique ridge). ORIF provides anatomical reduction, stable fixation, and allows early mobilisation without prolonged intermaxillary fixation. Non-displaced favourable fractures may be managed with closed reduction and IMF (wiring, arch bars, elastics).

Reference: Hupp – Contemporary Oral and Maxillofacial Surgery, 7th ed., 2019