The ultimate imaging tool is the stereolithographic model, which some centers are able to make from CT scan images. These are life-size models of the facial bones made of a plastic resin that can be held in one's hands. They can be useful in planning treatment and may be used as templates for contouring rigid hardware or constructing splints and other adjunctive appliances. It is important to evaluate the entire mandible, as multiple fractures are common. If the blow was directed at the anterior arch of the mandible it is mandatory to rule out fractures of the subcondylar areas.
Antibiotic coverage is essential through the time of initial treatment and early healing.
Penicillin is the drug of choice. Acetaminophen in liquid or table form may be sufficient. Requests for stronger analgesia should prompt the treating surgeon to consider that there may be unrecognized injuries, complications, or substance abuse. In this instance, MMF for 6 weeks will suffice as treatment. Most fractures will be displaced and unstable, requiring a more aggressive approach to therapy.