A COMPARATIVE STUDY ON OPEN AND CLOSED TREATMENT OF EDENTULOUS MANDIBULAR FRACTURES.

2021 ◽  
pp. 66-67
Author(s):  
Pravish. V ◽  
Syed Khaja Hussain. A ◽  
Soumitran. C S ◽  
Johnson. A G
Keyword(s):  
Closed Reduction ◽  
Geriatric Patients ◽  
Treatment Method ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Elderly Persons ◽  
Radiographic Assessment ◽  
Postoperative Assessment ◽  
Closed Treatment ◽  
Suitable Technique

Background And Objectives: The loss of bone mass and decreased vascularity decreases the strength of mandible and makes it vulnerable to fracture. Elderly persons with atrophic mandible have less osteogenic capability and reduced blood ow, and may have a complex medical history, so that management of a fracture of the mandible may require special considerations. An ideal treatment for these mostly geriatric patients is absolutely essential. In this context this particular study is being undertaken to compare with the two available treatment modalities open and closed reduction and to do an analysis to nd out which one will be a suitable technique for treatment. Method: This study involved 30 patients with edentulous mandibular fractures in which 15 patients for open reduction and 15 patients for closed reduction were selected. All the patients selected for the study were followed up postoperatively for a minimum period of 6 months. Postoperative assessment for pain, swelling, mobility of fracture segment, signs of Infections and radiographic assessment of fracture ends were done on the rst, third and sixth month respectively. Result: Postoperative assessment for pain, swelling, mobility of fracture segment, signs of Infections and radiographic assessment of fracture ends were done on the rst, third and sixth month showed no signicant differences. The results and observations from the study suggest us that there was no signicant difference between both methods on fracture healing.

scholarly journals Mandibular Fractures in Iraq: An Epidemiological Study

2015 ◽  
Vol 8 (1) ◽  
pp. 59-63 ◽  
Author(s):  
Salwan Bede
Keyword(s):  
Low Socioeconomic Status ◽  
Closed Reduction ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Descriptive Analysis ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Low Socioeconomic ◽  
Assault Victims ◽  
Epidemiological Characteristics

The purpose of this study was to evaluate the epidemiological characteristics of the mandibular fractures relating to gender, age, the etiology of injury, and the rendered treatment modalities and complications. The data of the patients who sustained mandibular fractures were retrieved and were analyzed retrospectively, and based on these data a descriptive analysis was conducted. A total of 112 patients were included in this study; the most common cause was road traffic accidents (RTAs) followed by assaults and missile injuries. The most frequently involved age group was 11 to 20 years, treatment modalities included conservative, closed reduction and indirect fixation, and open reduction and internal fixation (ORIF) in 11.6, 79.5, and 8.9% of the cases, respectively. Most of the major complications were injury related. This study showed RTAs to be the most frequent cause followed by assaults, it also showed that a high percentage of assault victims were females mainly of low socioeconomic status. Another distinguishing feature in this study was the high incidence of missile injuries in the form of bullets and blasts. Closed reduction still has an important role in the treatment of fractures of mandible especially when the necessary equipments for ORIF are not readily available. A higher complication rate was observed in patients diagnosed with multiple and comminuted fractures as well as those caused by violence in the form of missile and assault injuries.

scholarly journals Closed management of displaced Type II odontoid fractures: more frequent respiratory compromise with posteriorly displaced fractures

2000 ◽  
Vol 8 (6) ◽  
pp. 1-3 ◽  
Author(s):  
Gregory J. Przybylski ◽  
James S. Harrop ◽  
Alexander R. Vaccaro
Keyword(s):  
Respiratory Failure ◽  
Closed Reduction ◽  
Nasotracheal Intubation ◽  
Treatment Method ◽  
Consecutive Series ◽  
Type Ii ◽  
Respiratory Compromise ◽  
Odontoid Fractures ◽  
Posterior Displacement ◽  
Closed Treatment

Object Acute respiratory failure has been observed in patients after external immobilization for displaced odontoid fractures. The authors studied the frequency of respiratory deterioration in the acute management of displaced Type II odontoid fractures to identify patients at risk for respiratory failure. Methods The authors conducted a retrospective review of a consecutive series of 89 patients with odontoid fractures who were treated over a 5-year period to identify 53 patients with displaced Type II odontoid fractures. Patient demographics, degree of displacement, respiratory status, treatment method, and outcome were examined. Of the 32 patients with posteriorly displaced fractures, 13 experienced acute respiratory compromise, whereas only one of 21 patients with anteriorly displaced fractures had respiratory difficulties (p = 0.0032). The average posterior displacement was 6.9 mm. All 13 were initially managed using flexion traction for reduction of these fractures. Two of these patients died because of failure to emergently secure an airway during closed treatment of the fracture. Conclusions Frequent respiratory deterioration during acute closed reduction of posteriorly displaced Type II odontoid fractures was observed, whereas respiratory failure in patients with anteriorly displaced fractures was rare. The use of the flexed cervical position in the setting of retropharyngeal edema rather than the direction of the displacement may substantially increase the risk of respiratory failure. This may prompt early elective nasotracheal intubation during closed reduction of posteriorly displaced Type II odontoid fractures that require a flexed posture.

scholarly journals Percepção do portador de hérnia de disco acerca do tratamento fisioterapêutico

Bionorte ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 26-35
Author(s):  
Camila Almeida Guida ◽  
Valmir Juneo Ferreira ◽  
Francielle Vieira de Souza
Keyword(s):  
Physical Therapy ◽  
Treatment Method ◽  
Descriptive Study ◽  
Treatment Modalities ◽  
Lumbar Region ◽  
Main Risk Factor ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Physical Therapy Treatment ◽  
Therapy Treatment

Objective: to analyze the benefits of physicaltherapytreatmentinpatients withaclinicaldiagnosisofherniateddisc.Materials and Methods: this descriptive study is characterized as a qualitative, quantitative and cross-sectional research. An online questionnaire was collected to collect data about the benefits of physical therapytreatmentinpatientswithdischerniation.Results:itwasevidencedprevalenceofdisc hernias in individuals aged 38 to 42 years, male, with predominance in the lumbar region, having as main risk factor to take / carry weight. As a conservative treatment method, 68.3% underwent physical therapy and 61% of individuals reported having associated exercises with the treatment method. Of 41 respondents, 30 reported that physical therapy treatment helped reduce pain. Conclusion: it can be concluded that the physiotherapeutic treatment through its various treatment modalities provides benefitsto the disc herniated patient, reducing the pain and improving the whole kinesiofunctionalcomplex.

scholarly journals Utility of Photodynamic Therapy in Dentistry: Current Concepts

2020 ◽  
Vol 8 (2) ◽  
pp. 43
Author(s):  
Anette Stájer ◽  
Szilvia Kajári ◽  
Márió Gajdács ◽  
Aima Musah-Eroje ◽  
Zoltán Baráth
Keyword(s):  
Photodynamic Therapy ◽  
Clinical Success ◽  
Maxillofacial Surgery ◽  
Treatment Method ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Invasive Treatment ◽  
Advantages And Disadvantages ◽  
Non Invasive ◽  
Wide Range

The significant growth in scientific and technological advancements within the field of dentistry has resulted in a wide range of novel treatment modalities for dentists to use. Photodynamic therapy (PDT) is an emerging, non-invasive treatment method, involving photosensitizers, light of a specific wavelength and the generation of singlet oxygen and reactive oxygen species (ROS) to eliminate unwanted eukaryotic cells (e.g., malignancies in the oral cavity) or pathogenic microorganisms. The aim of this review article is to summarize the history, general concepts, advantages and disadvantages of PDT and to provide examples for current indications of PDT in various subspecialties of dentistry (oral and maxillofacial surgery, oral medicine, endodontics, preventive dentistry, periodontology and implantology), in addition to presenting some images from our own experiences about the clinical success with PDT.

scholarly journals Patient Race and Insurance Status Do Not Impact the Treatment of Simple Mandibular Fractures

2020 ◽  
Vol 13 (1) ◽  
pp. 15-22
Author(s):  
Thomas Q. Xu ◽  
Aaron L. Wiegmann ◽  
Taylor J. Jarazcewski ◽  
Ethan M. Ritz ◽  
Carlos A. Q. Santos ◽  
...  
Keyword(s):  
Open Reduction ◽  
Univariate Analysis ◽  
Female Gender ◽  
The United States ◽  
P Value ◽  
Mandibular Fractures ◽  
Insurance Status ◽  
Patient Race ◽  
Closed Treatment ◽  
The Impact

Introduction: Health-care disparities have been reported throughout medical literature for decades. While blatant explicit bias is not prevalent, a substantial body of research has been published suggesting that systemic biases related to sex, race, income, and insurance status likely exist. To our knowledge, no study has assessed the impact of patient race and insurance status on clinical decision-making in facial fracture repair in the United States. Thus, the objective of this project was to assess if race and insurance status impacted whether patients obtained open or closed treatment of simple mandibular fractures. Methods: Patients who had either open or closed treatment of mandibular fractures were extracted from the 2012 and 2013 National Inpatient Sample and analyzed. Patients who had a length of stay longer than 3 days or died during their inpatient stay were excluded. These exclusion criteria were used to control for patients with polytrauma as well as complicated fractures. Univariate analysis was undertaken to elucidate different variable associations with the type of reduction performed. All covariates were then entered into a multivariable logistic regression model to test the variables simultaneously. Results: Patients with simple condylar, alveolar border, and closed mandibular fractures were more likely to undergo closed reduction (CR) on univariate analysis, as were patients with female gender and a fall mechanism ( P value < .05). African Americans, Hispanics, and patients without insurance were more likely to undergo open reduction on univariate analysis ( P value < .05). Multivariate analysis demonstrated that patients with simple condylar, subcondylar, alveolar border, or closed mandibular fractures were more likely to undergo a CR, as were patients with female gender and a firearm or fall mechanism ( P < .05). However, neither race nor insurance status demonstrated a statistically significant association with closed or open reduction. Conclusion: Anatomic location and mechanism of injury were the variables found to be significantly associated with patients undergoing open reduction versus CR of simple mandibular fractures—not race or insurance status.

Successful Application of Atelocollagen for Treatment of Perforated Teeth

2011 ◽  
Vol 36 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Katsuhiko Masuda ◽  
Kazuhiko Nakano ◽  
Rena Okawa ◽  
Shuhei Naka ◽  
Michiyo Matsumoto ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Clinical Problem ◽  
Treatment Method ◽  
Permanent Teeth ◽  
Treatment Modalities ◽  
Clinical Evaluations ◽  
Novel Method ◽  
Early Tooth Loss ◽  
Clinical Problems

Objective: Cervical or furcal root perforation is a serious clinical problem and one of its treatment modalities is perforation repair with composite resin. However, many cases still progress in inevitable extraction. When primary teeth are affected, early tooth loss can cause problems related to the eruption space for the permanent successors. The aim of the present study was to evaluate a novel clinical treatment method for perforated teeth. Study design: Atelocollagen was applied to perforated furcal and cervical areas of 13 primary teeth in 13 children aged 4-9 years and 8 permanent teeth in 8 adults aged 35-69 years after debridement with an electric knife. Thereafter, the final restorations were performed after confirming good tooth conditions. Clinical evaluations were performed at follow-up examinations at approximately 3-month intervals.Results: None of the treated primary teeth showed any clinical problems throughout the observation period, with eruption of the permanent successors noted in 7 cases. In the permanent teeth, no clinical problems were identified in any of the cases during follow-up periods of 10-60 months. Conclusion: This novel method may enable preservation of perforated primary teeth for a longer duration.

scholarly journals Recovery of Post-Traumatic Temporomandibular Joint after Mandibular Fracture Immobilization: A Literature Review

2021 ◽  
Vol 11 (21) ◽  
pp. 10239
Author(s):  
Carmen Gabriela Stelea ◽  
Doriana Agop-Forna ◽  
Raluca Dragomir ◽  
Codrina Ancuţa ◽  
Roland Törok ◽  
...  
Keyword(s):  
Temporomandibular Joint ◽  
Real Life ◽  
Mandibular Fracture ◽  
Temporomandibular Joint Disorders ◽  
Treatment Modalities ◽  
Mandibular Fractures ◽  
Traumatic Injuries ◽  
Joint Fractures ◽  
Post Traumatic ◽  
Mandible Fractures

Considered as one of the most common traumatic injuries of the maxillofacial region, mandibular fractures remain among the complex causes of temporomandibular joint disorders (TMDs). Due to the complexity of the temporomandibular joint, the management of TMDs represents a challenge in real-life practice; although many treatment modalities have already been proposed, ranging from conservative options to open surgical procedures, a consensus is still lacking in many aspects. Furthermore, despite continuous improvement of the management of mandible fractures, the duration of immobilization and temporary disability is not reduced, and the incidence of complications remains high. The aim of the present study is to (i) review anatomophysiological components of temporomandibular joint; (ii) review concepts of temporomandibular joint fractures; and (iii) describe methods of the recovery of the temporomandibular joint after mandibular fracture immobilization.

scholarly journals Comparison of functional outcome after open and closed reduction of mandibular subcondylar fracture

2020 ◽  
pp. 1-12
Author(s):  
Samira Shabbir Balouch ◽  
Rana Sohail ◽  
Sadia Awais ◽  
Riaz Ahmad Warraich ◽  
Mir Ibrahim Sajid
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Treatment Modalities ◽  
Oral And Maxillofacial Surgery ◽  
Subcondylar Fracture ◽  
Group A ◽  
Group B

Abstract Objective: To compare open reduction with internal fixation of mandibular subcondylar fracture with closed reduction in terms of adequate mouth opening. Method: The randomised clinical trial was conducted from March 2014 to February 2015 at the Oral and Maxillofacial Surgery Department, King Edward Medical University and Allied Hospitals, Lahore, Pakistan, and comprised patients who presented with unilateral subcondylar fractures. The patients were randomly divided into 2 groups. Group-A patients were treated with closed reduction and immobilisation and were discharged the same day, while Group-B patients were treated by open reduction with internal fixation and retained in ward for 1 day. Both were recalled for periodic follow-ups, and were compared in terms of achieving adequate mouth opening. Data was analysed using SPSS 20. Results: Of the 70 patients, 35(50%) were in each of the two groups. The mean age in Group-A was 28.88±11.86 years compared to 28.22±10.80 years in Group-B (p>0.05). Mean mouth opening in  the two groups were consistently positive, and significant at the last two follow-ups(p<0.001). Conclusion: The difference in results of both treatment modalities was significant, indicating that open reduction and internal fixation should be the preferred treatment. Key Words: Mandibular sub-condylar fracture, Open reduction, Closed reduction, Internal fixation, Mouth opening.

Sign in / Sign up

Export Citation Format

Share Document