BSSCD Journal 25-3 Learning from hindsight: delayed management of mandibular fractures in a patient with a learning disability

Journal of the British Society of Special Care Dentistry
December 2025
Volume: 25
Issue: 3
DOI: 10.63507/ZQKR2029

Title: Learning from hindsight: delayed management of mandibular fractures in a patient with a learning disability

Author: Hayat S, Pullan S, Patel S, Yeo X H

Abstract:

Patients with learning disabilities face barriers in accessing the care that they need, affecting quality of life and long-term prognosis. We present a case of a 38-year-old male seen in the community dental service, who sustained an unwitnessed fall and bilateral mandibular fractures which were only diagnosed, and therefore treated, three weeks later. Despite an uneventful recovery, there are many learning points to share on reflection, to help increase awareness and improve diagnostic vigilance, considering the limitations presented by this vulnerable patient group.

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Articles from BSSCD Journal 25-3

Article Title	Author	Page start	Page end
Editorial	Newton T	101	103
BSSCD AGM	Various	104	107
Announcements and diary	BSSCD	108	110
Profile: Andrew Geddis-Regan	A Geddis-Regan	112	112
Profile: Richard Fitzgerald	R Fitzgerald	113	114
Book review: CBT for dental anxiety: a manual for the dental team	S Naidu	115	115
Book review: The NHS England Clinical Guide to Dental Anxiety Management	J Hare	116	118
Everyday Miracles	Shah P	119	119
Peer Reviewed Papers
Looked after children: legislation and consenting for dental treatment	Brown N, Tkacz K, Reynolds C	120	126
A report of a dental service for patients with end stage renal disease (ESRD) awaiting kidney transplant at Lancashire Teaching Hospitals NHS Foundation Trust	Wooi M, Woywodt A, O’Mahony F	127	136
Peer Reviewed Case Reports
The use of lateral oblique radiographs where other approaches are contraindicated – a case series	O’Halloran A, Shah P	137	141
Learning from hindsight: delayed management of mandibular fractures in a patient with a learning disability	Hayat S, Pullan S, Patel S, Yeo X H	142	154