A lower jaw fracture is one of the most common facial injuries. Reduction means bringing the bone fragments back into the correct position, and immobilisation means holding them still while they heal. At UKRMED Maxillofacial Surgery, mandibular fracture treatment is planned by maxillofacial surgeon Anna Kravchenko after a CT scan: she decides whether splints and jaw wiring are enough or plate fixation is needed.
Jaw fracture treatment Kyiv — maxillofacial surgeon consultation
The surgeon will review your CT, bite and fragment position and suggest a treatment method.
Any facial injury with these signs needs urgent assessment. The diagnosis is confirmed by CT, which shows the fracture line, displacement and the position of teeth in the fracture gap.
Immobilisation keeps the fragments still so the bone heals in the right position. There are two kinds:
Temporary immobilisation prevents displacement and reduces pain and bleeding during transport.
If the fragments are not displaced or are easily realigned, and the teeth on both sides of the fracture are stable, the fracture is treated without an incision: the surgeon realigns the fragments, attaches splints to the teeth and connects the upper and lower jaws with elastics or wire. The bite is restored using the teeth as a guide.
If the fragments are markedly displaced, the fracture is multiple or at the jaw angle, open mandibular osteosynthesis with plates is more often required.
A Cochrane review of mandibular fracture management analysed 12 randomised trials of different fixation methods — splints, various plates, early and delayed mobilisation. The authors concluded there is not enough evidence to favour one universal method, so the choice depends on the fracture type, the surgeon's experience and the patient's condition. The AO Foundation surgery reference describes the same principles: restoring the correct bite, stable fixation and preserving the blood supply to the fragments.
Oral and maxillofacial surgery at UKRMED
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During immobilisation, the patient eats liquid and puréed food and cleans the mouth carefully — rinsing after every meal and using a brush for the splints. Regular check-ups monitor the fragments and the splints. Bone union usually takes about four to six weeks, after which the splints are removed and chewing is gradually resumed.
Infection in the fracture gap, malunion with a bite problem, prolonged lip numbness and damage to teeth in the fracture line. The risk is lower with early treatment and following the advice.
The cost depends on the fracture type and fixation method — the surgeon gives it after the CT scan.
| Service | Price |
|---|---|
| Maxillofacial surgeon consultation (PhD) | UAH 1,000 |
| CT of both jaws with report | UAH 1,000 |
| Splinting (1 tooth) | UAH 1,000 |
| Suturing | UAH 650 |
| Suture removal | UAH 250 |
Correct healing without bite problems
Come as soon as possible after an injury — the surgeon will choose the treatment.
On average four to six weeks, depending on the fracture type, age and following the advice.
Holding the bone fragments still while they heal — with splints, intermaxillary fixation or plates.
Yes, liquid and puréed food. The doctor will explain how to eat and care for your mouth.
No. Fractures without significant displacement are often treated with splints without an incision.
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