Although I'm now at a different mission hospital (Kijabe) the frequency of treating broken jaw bones has not decreased. Our treatment methods at Kijabe vary slightly as we also have the option of open reduction using plates and screws. This patient declined this surgical procedure and opted for the more standard fixation of the maxilla to the mandible using arch bars and wires for 4-6 weeks (more affordable option at 5000 KSH).
You can see the bilateral jaw fractured at the right parasymphyseal region and also near the mandibular angle on the left; and of course the giant discrepancy in occlusion between teeth #28 and #29 below.
The IMF in place below.
Four week post-op results are seen below. Appropriate occlusion present, and good approximation of the fracture sites. We will keep him in IMF for 2 more weeks to insure healing and then remove the wires.