Traditionally, intraoral access using a vestibular incision in the lower gingivobuccal sulcus has been the standard approach for open reduction and internal fixation.
However, this method is frequently associated with postoperative complications such as pain, swelling, trismus, wound dehiscence, obliteration of vestibular depth, and, in some cases, injury to critical structures like the mental nerve.
In contrast, the crevicular incision—made along the gingival sulcus—offers improved visualization of fracture lines, safer exposure of the mental nerve, and direct subperiosteal access to bone without traversing mobile mucosa.
The recent review published in Cureus synthesizes both literature and a clinical case involving a mandibular body fracture successfully managed via crevicular incision
The authors highlight several key benefits: reduced surgical duration, enhanced fracture reduction, decreased risk of nerve injury, and superior soft tissue healing, resulting in greater patient comfort and overall satisfaction.
Given these compelling clinical and anatomical advantages, this comprehensive review advocates for the crevicular incision as a highly effective alternative to the vestibular approach—especially in cases involving body, angle, symphysis, and parasymphysis fractures.
If you are a dental or maxillofacial professional seeking an evidence-based, technically detailed exploration of incision strategies—along with illustrative case insights—download and read the Full article in PDF.
