Purpose: To investigate the clinical characteristics, the treatment principles and indications of the pediatric patients with mandibular fractures.

Methods: From January 2005 to December 2011, data of 104 pediatric patients with mandibular fractures were collected by consulting medical records. Preoperative and postoperative image datasets were obtained, clinical characteristics were analyzed and the treatment results were evaluated.

Results: Among 104 patients with total 201 fractures were treated. 99 fractures were cured conservatively and 102 were treated by open reduction. All the patients showed great improvement on the occlusion, mouth opening, temporomandibular joint function and etc. Only 7 cases of facial as asymmetry were identified. 97.12% of the patients were satisfied with the therapeutic effect.

Conclusion: Different Treatment should be applied depending on age, location and type of fracture. Most of the pediatric patients with mandibular fracture can get satisfied outcomes without big trouble whatever closed treatment or open reduction, rare facial deformity happened.