Facial fractures in children, constituting approximately 5% of cases, present unique challenges due to the dynamic nature of growth and development. This study delves into the complexities of managing mandibular fractures in pediatric patients. While falls and sports injuries are primary etiological factors, the protective anatomical features of a child’s face influence fracture patterns. Clinical examination, supplemented by advanced imaging techniques like computed tomography, is crucial for accurate assessment. Controversies arise in choosing between open and closed reduction methods. Open reduction with metallic rigid fixation offers stability but poses challenges in mixed dentition. Resorbable plates emerge as a promising alternative, mitigating risks to developing structures. Closed reduction methods such as circumandibular wiring and nickel titanium staples offer cost-effective and minimally invasive options. The study emphasizes the significance of individualized treatment strategies, considering age, fracture type, and dentition status. Successful outcomes rely on the surgeon’s expertise, with pediatric dentistry playing a pivotal role in long-term care.

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