scholarly journals New method for intraoperatory occlusal restauration in mandibular angle fractures treatment using two modified reduction forcepssing two modified reduction forceps

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
José Lineu Pereira Ogoshi ◽  
Rogerio Henrique Berardi ◽  
Denis Zangrando ◽  
Fernando kendi Horikawa ◽  
Susana Morimoto ◽  
...  
Keyword(s):  
Mandibular Fracture ◽  
New Method ◽  
Surgical Approaches ◽  
Dental Occlusion ◽  
Mandibular Angle ◽  
Intermaxillary Fixation ◽  
Non Invasive ◽  
Arch Bar ◽  
Angle Fractures ◽  
Maxillo Mandibular Fixation

The treatment of mandibular angle fractures presents several possibilities for fixation methods and surgical approaches which can be intraoral or can be accessed through the skin. An important point would be intraoperative occlusal restoration. We present a method that replaces the traditional form using an erich bar and which, in our view, is a fast and effective method for intraoperative occlusal restoration.Descriptors: Inter Maxillary Fixation (IMF); Occlusion; Arch Bar Fixation.ReferencesJohnson AW. Dental occlusion ties: A rapid, safe, and non-invasive maxillo-mandibular fixation technology. Laryngoscope Investig Otolaryngol. 2017;2(4):178-83.Abbasi AJ, Parvin M. New method of arch bar fixation. Br J Oral Maxillofac Surg. 2017;55(6):631-32.Shinohara EH, Mitsuda ST, Miyagusko JM, Horikawa FK. Mandibular fracture reduction without intraoperative intermaxillary fixation: a technique using two modified reduction forceps. J Contemp Dent Pract. 2006;7(1):150-56.

TO COMPARE THE EFFECTIVENESS OF INTERMAXILLARY FIXATION USING ERICH ARCH BAR AND SCREWS IN MANDIBULAR FRACTURES – A RANDOMIZED CLINICAL STUDY.

2021 ◽  
pp. 24-27
Author(s):  
Ayeshwarya Chaudhary ◽  
Aashish Deshmukh ◽  
Manasi Bavaskar ◽  
Mehul Bhoye ◽  
Rajwardhan Shinde
Keyword(s):  
Mandibular Fracture ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation ◽  
Glove Perforation ◽  
Randomized Clinical Study ◽  
Arch Bar ◽  
Group A ◽  
The Mean ◽  
Group B ◽  
Mean Time

Purpose: Intermaxillary xation (IMF) is an essential principle in the management of mandibular fractures; but with the recent advent of open reduction and internal xation (ORIF), the use of IMF is almost limited to intraoperative procedure only. This study aims to investigate and compare the effectiveness of Erich arch bar & intermaxillary xation (IMF) screws for the management of mandibular fractures. Materials And Method: A randomized prospective study was conducted on 20 patients with mandibular fracture, who were randomly allotted to two groups. Group A patients received intermaxillary xation using Erich arch bar and group B patients received IMF screws. The parameters assessed were time taken for application and removal of appliance, stability of occlusion, glove perforation, and pre-and post-operative plaque accumulation. Results: The mean time for placement of the Erich arch bar was 43.10 minutes as compared to 18.60 minutes with intermaxillary xation screws. Better occlusal stability was shown with an arch bar over IMF screws, and was statistically signicant. More glove tears or penetrations occurred during application in group A than Group B (p<0.01). Also, The Plaque Index assessment on removal of appliance showed a statistically signicant difference between the two groups; higher in the arch bar group. Conclusion: This study indicates that with acceptable occlusal stability, IMF screws technique is an effective and favourable alternative to Erich arch bars for temporary intermaxillary xation in mandibular fractures.

Comparison Between Intermaxillary Fixation With Screws and an Arch Bar for Mandibular Fracture

2019 ◽  
Vol 30 (6) ◽  
pp. 1787-1789 ◽  
Author(s):  
Jong-Woo Choi ◽  
Hyung Bae Kim ◽  
Woo Shik Jeong ◽  
Sung Chan Kim ◽  
Kyung S. Koh
Keyword(s):  
Mandibular Fracture ◽  
Intermaxillary Fixation ◽  
Arch Bar ◽  
With Screws

scholarly journals Closed reduction in the treatment of neglected mandibular fractures at the Department of Oral and Maxillofacial Surgery, Universitas Airlangga

2019 ◽  
Vol 52 (3) ◽  
pp. 147
Author(s):  
Olivia Jennifer Gunardi ◽  
Riska Diana ◽  
David Buntoro Kamadjaja ◽  
Ni Putu Mira Sumarta
Keyword(s):  
Closed Reduction ◽  
Reduction Method ◽  
Maxillofacial Surgery ◽  
Case Series ◽  
Mandibular Fracture ◽  
Patient Treatment ◽  
Dental Occlusion ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Fractures ◽  
Intermaxillary Fixation

Background: The mandible is one of the bones most affected by facial fractures commonly resulting from trauma to the face. The ultimate goal of treatment is to re-establish the pre-injury dental occlusion (bite), mandibular anatomy and jaw function of the patient. Treatment approaches range from conservative non-invasive management by ’closed’ reduction and immobilization using intermaxillary fixation (IMF) to the more invasive surgery-based ’open’ reduction incorporating an internal fixation approach. Purpose: The purpose of this case series was to describe the close reduction method as a form of treatment in cases of neglected mandibular fracture. Cases: Four cases of single or multiple mandibular fracture were presented. Case management: All of the cases were managed using a closed reduction method and IMF. Conclusion: A closed reduction method in this case series produced encouraging results and could be considered an alternative in the treatment of neglected mandibular fractures with displacement.

scholarly journals The Use of a Novel CAD-CAM Splint to Simplify Open Reduction and Internal Fixation of Mandibular Angle Fracture: A Technical Note

2020 ◽  
pp. 194338752090489
Author(s):  
Mrunalini Ramanathan ◽  
Elavenil Panneerselvam ◽  
Sriraam Kasi Ganesh ◽  
Krishna Kumar Raja
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Technical Note ◽  
Mandibular Angle ◽  
Intermaxillary Fixation ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Computer Aided ◽  
Digital Manipulation ◽  
Angle Fractures

Mandibular angle fractures are frequently encountered as they constitute an area of weakness. Complications after open reduction and internal fixation (ORIF) of angle fractures commonly arise due to improper reduction and fixation methods that fail to counteract the dynamic muscle forces present in this region. Conventional reduction methods such as digital manipulation, intermaxillary fixation, towel clip traction, and wiring are associated with various limitations. This technical note highlights the fabrication and use of a computer-aided designing/computer-aided manufacturing–generated splint for ORIF of a superiorly displaced mandibular angle fracture. The splint consisted of 2 components: (1) a distal tooth-borne component to guide the teeth into maximum intercuspation and (2) a proximal bone-borne component to reduce the angle fracture. This composite splint facilitates simultaneous restoration of occlusion as well as reduction of mandibular angle fractures. The advantages of this technique include the following: (1) easy fabrication of splint, (2) easy and precise anatomical reduction of angle fracture, and (3) less operative time.

scholarly journals Who Can Treat Mandibular Trauma Better?

2019 ◽  
pp. 16-23
Author(s):  
Savina Gupta ◽  
Hemant Yadav ◽  
Hirkani Attarde ◽  
Jai Singh Narula
Keyword(s):  
Treatment Plan ◽  
Maxillofacial Surgery ◽  
Clinical Situation ◽  
Oral And Maxillofacial Surgery ◽  
Mandibular Angle ◽  
Intermaxillary Fixation ◽  
Mandibular Angle Fracture ◽  
Operative Care ◽  
Angle Fracture ◽  
Angle Fractures

Oral and maxillofacial surgery, a specialty responsible for the diagnosis, treatment of trauma, congenital, developmental and iatrogenic lesions in the maxillofacial complex. Despite all the progress that has occurred in the specialty of this fraternity, many people are still unaware of the specialty. Even today, difficulties are experienced owing to the lack of knowledge of the general public and health professionals concerning the scope of oral and maxillofacial surgery. To investigate recognition of the scope of oral and maxillofacial surgery; 50 questionnaires about mandible angle fracture were sent to the oral & maxillofacial surgeons and plastic surgeons, in 2 equal groups. The questionnaire covered 9 questions regarding peri-operative care of mandible angle fracture. Each interviewee had to answer the clinical situation with their own perspective and knowledge. On the basis of questionnaire responses, a good knowledge of treatment plan in terms of function and aesthetics were evaluated, which were instituted by oral and maxillofacial surgeons and plastic surgeons gave little consideration on functional outcome. Results obtained from this questionnaire signified that less number of plastic surgeons operated on mandibular angle fractures as compared to oral surgeons, with not much a discrepancy in the choice of radiographs. The plastic surgeons usually prefer an extraoral approach over an intraoral, with the main aim to re-establish esthetics whereas oral surgeons preferred functional establishment. Both the surgeons treat these fractures with the help of rigid osteosynthesis and intermaxillary fixation. Not many plastic surgeons opt for Champ’s technique of osteosynthesis. Both the surgeons do not prefer to remove plates postoperatively. Moreover, the plastic surgeons do not wish to extract tooth in line of fracture majorly. Thus, we conclude that oral and maxillofacial surgeons are better proficient than plastic surgeons in handling mandibular angle fracture and the specialty needs to broaden its horizons in order to ensure the correct referral of all patients.

Sign in / Sign up

Export Citation Format

Share Document