Maxillomandibular fixation in pediatric facial fractures is quite challenging to be achieved, especially in mid-mixed dentition. Traditional well established intermaxillary devices have a lot of limitations in these patients. This article presents a case of a 9-year-old female patient with a displaced mandibular fracture in which orthodontic buttons were used for transoperative maxillomandibular fixation followed by internal fixation after adequate occlusion reestablishment and fracture reduction. The method showed high efficacy and celerity, allowing the success of treatment, with satisfactory evolution of the patient. Address correspondence and reprint requests to Bruno Coelho Mendes, DDS, MSc, Street: Jose Bonifacio, 1193, Araçatuba, São Paulo 16015-050, Brazil; E-mail: brunocoelho.mnds@gmail.com Received 25 September, 2020 Accepted 19 October, 2020 The authors report no conflicts of interest. © 2020 by Mutaz B. Habal, MD.
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