Multidisciplinary approach is required for the management of paediatric mandible fractures. Any fault in the treatment might lead to asymmetry of the mandible followed by temporomandibular joint (TMJ) ankylosis. Etiology links to road traffic accidents, fall, sports injuries and interpersonal violence. Condyle is most commonly involved followed by symphysis, body and angle of the mandible. Treatment options include conservative management, closed reduction and open reduction-internal fixation. In this scientific article, we present a case report of a 12 year old female with fracture of right parasymphysis and left body of the mandible managed by open reduction-internal fixation - intermaxillary fixation whereas the right sagittal split of condylar head managed conervatively.