Control of Mandibular Width With 3D Printed Occlusal Splint in Children With Multiple Mandibular Fractures

Wu, Biao; Lv, Kun

doi:10.1097/scs.0000000000009418

Cited by 5 publications

(3 citation statements)

References 24 publications

(38 reference statements)

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“…The surgical complications from mandibular fractures are commonly related to tooth treatment and surgical treatment. 17,18 From the literature review previously, it could be referred that the teeth fate decision counts significant importance in the whole treatment procedure.…”

Section: Discussionmentioning

confidence: 99%

The Evaluation of Objective and Subjective Fate of Teeth in the Mandible Fracture Line and the Management—A Center’s Experience

Gao,

Li,

Wang

2024

Journal of Craniofacial Surgery

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Objective: The decision to retain or extract teeth in the line of mandibular fractures has been a subject of debate in much of the scientific literature, and there is a need for further evidence to clear this issue. Thus, the aim of this study was to investigate both the positive and negative effects of teeth in the line of mandibular fractures provide more evidence in this field, as well as take into consideration patients’ quality of life after the surgery. Methods: Patients after trauma with teeth in the line of mandibular fractures were included in this study. Open reduction and rigid internal fixation, elastic intermaxillary reduction were expected to achieve a satisfactory occlusion and/or anatomical reduction in the fragments as assessed by orthopantomogram, computed tomography scans, and clinical examination. The remaining cases had maxillomandibular fixation (MMF) with an arch bar and bridle wire. All the patients included in this study will take the Visual Analog Scale score evaluation before and after surgery subjectively to further verify the impact on their life qualify, as well as the further treatment needed. Results: A total of 78 patients with teeth in the line of mandibular fractures were included in this study. Open reduction and rigid internal fixation was used in 37 patients, whereas another 35 patients accepted elastic intermaxillary reduction. Six cases underwent MMF. The number of involved teeth was 83. Three of the 83 teeth involved in the fracture lines healed with complications. In the cases where the teeth had been removed before fracture treatment, or in cases of delayed extractions, no complications were noted. The majority of the patients felt good about the whole treatment, however, 4 in the MMF group complained about worry about their oral health due to MMF leading to mouth open limitation. Conclusion: The factors that should be considered for removal include the condition of the teeth and alveolar bone, the timing and the type of treatment, as well as the patients’ desire, if possible. This is an individual-based decision that needs to consider more objective and subjective potential risks to avoid complications.

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Section: Discussionmentioning

confidence: 99%

The Evaluation of Objective and Subjective Fate of Teeth in the Mandible Fracture Line and the Management—A Center’s Experience

Gao,

Li,

Wang

2024

Journal of Craniofacial Surgery

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“…Postoperative imaging confirmed successful mandibular adduction, with favorable outcomes observed during the two-month follow-up period. This approach is particularly beneficial among children with mandibular symphyseal fractures accompanied by bilateral condylar fractures [53].…”

Section: Orthodontic Management Of Mandibular Body Fracturesmentioning

confidence: 99%

The Role of Orthodontics in the Management of Maxillofacial Fractures in Children: A Review on Contemporary Approaches

Alhabshi,

Taweel,

Alahmary

et al. 2024

Cureus

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Maxillofacial fractures present complex challenges requiring effective orthodontic management to restore function and aesthetics. This review explores various orthodontic techniques, including fixed braces, maxillomandibular fixation (MMF), functional orthodontic therapy (FOT), and acrylic splints, emphasizing their roles in stabilizing fractures and promoting healing. The management of condylar fractures is discussed, highlighting the benefits of early intervention with functional appliances to facilitate condylar remodeling in children and adolescents. Additionally, the review covers splinting methods for dental and dentoalveolar fractures and the use of open reduction internal fixation (ORIF) for maxillary fractures. It addresses the complications and challenges of fracture management, the need for a multidisciplinary approach, and the limitations of current studies. Future directions include the use of advanced technologies such as virtual surgical planning (VSP) and 3D printing to enhance treatment precision and outcomes. This review provides a comprehensive overview of orthodontic strategies for maxillofacial fractures, offering insights into clinical applications and future advancements.

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“…Open reduction and internal fixation are commonly used for subcondylar fractures, as open treatment is more effective in restoring a patient’s premorbid occlusion and mandibular movements 1,2 . At present, there are many reports on the applications of absorbable plates in the fixation of condylar fractures 3,4 . Compared with a conventional titanium plate system, an absorbable plate obviates the need for plate removal; however, the absorbable plate system involves complicated procedures, 5 which need adequate exposure of the operative field and less interfere by the surrounding soft tissues.…”

mentioning

confidence: 99%

A Temporary Intraoperative Fixation Method for the Absorbable Plates Fixation of Condylar Fracture by Retromandibular Transparotid Approach

Tao,

Zhao,

2023

Journal of Craniofacial Surgery

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The authors describe a temporary intraoperative fixation method for the absorbable plates’ fixation of subcondylar fracture by retromandibular transparotid approach. First, the fracture was temporarily fixed with a 4-hole titanium microplate across the fracture line in the center of the lateral surface of the condyle to maintain the reduction of the fracture. Then, two 4-hole absorbable mini-plates were fixed on the posterior and anterior border of the condylar neck. Finally, the 4-hole titanium microplate and screws were removed before the wound closure. In the absorbable plates’ fixation of subcondylar fracture by transparotid approach, the method of temporary intraoperative fixation using a 4-hole titanium microplate offsets the limited exposure of the operative field, smooths the operation, and offers the reliability and validity of the absorbable plates’ fixation.

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Control of Mandibular Width With 3D Printed Occlusal Splint in Children With Multiple Mandibular Fractures

Cited by 5 publications

References 24 publications

The Evaluation of Objective and Subjective Fate of Teeth in the Mandible Fracture Line and the Management—A Center’s Experience

The Evaluation of Objective and Subjective Fate of Teeth in the Mandible Fracture Line and the Management—A Center’s Experience

The Role of Orthodontics in the Management of Maxillofacial Fractures in Children: A Review on Contemporary Approaches

A Temporary Intraoperative Fixation Method for the Absorbable Plates Fixation of Condylar Fracture by Retromandibular Transparotid Approach

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