European multicenter prospective analysis of the use of maxillomandibular fixation for mandibular fractures treated with open reduction and internal fixation

Roccia, Fabio; Sobrero, Federica; Raveggi, Elisa; Rabufetti, Alessandro; Scolozzi, Paolo; Dubron, Kathia; Politis, Constantinus; Ganasouli, Dimitra; Zanakis, Stylianos N.; Jelovac, Drago; Konstantinović, Vitomir S.; Birk, Anže; Vesnaver, Aleš; Knežević, Predrag; Dediol, Emil; Kordić, Mario; Sivrić, Anamaria; Rizvi, Ali O; Laverick, Sean; Vilaplana, Nil Valentines; Roig, Antonio Marí; Derkuş, Fatma Eriş; Yilmaz, Utku Nezih; Goetzinger, Maximilian; Bottini, Gian Battista; Ramieri, Guglielmo

doi:10.1016/j.jormas.2022.101376

Cited by 8 publications

(13 citation statements)

References 39 publications

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“…In the world, there is a yearly increase in the number of maxillofacial surgeries related to the diseases and traumas of the facial skeleton bones that require fixation of fragments with medical products made of artificial materials, including Ti. 2,16,26 The use of various metallic structures is considered standard practice, while finding new materials and improving medical technologies to provide the comfort and reliability of surgical procedures are one of the most important tasks that present-day practical medicine faces every day. 27 It is commonly known that a successful surgical fixation of bone fragments is based on the knowledge of the biological processes underlying the interaction at the interosseous interfaces between an implant and a biosystem.…”

Section: Discussionmentioning

confidence: 99%

In Vivo Studies of Medical Implants for Maxillofacial Surgery Produced from Nanostructured Titanium

Matchin,

Nosov,

Stadnikov

et al. 2023

ACS Biomater. Sci. Eng.

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This paper presents the results of comprehensive in vivo studies into the osseointegration behavior of medical implants for maxillofacial surgery produced from nanostructured grade 4 titanium. Special attention is given to the phenomenology of bone tissue formation with consideration of its surface relief features and to evaluating the quantitative parameters of the morphological indicators of osteoblast and endothelial cells in the osseointegration zone. These parameters were compared with their measurement data for standard factory-made implants, and considerable acceleration in the fixation of nanotitanium implants due to osseointegation was found. The obtained results indicate a better osseointegration of implants made of nanotitanium in comparison to similar standard products.

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Section: Discussionmentioning

confidence: 99%

In Vivo Studies of Medical Implants for Maxillofacial Surgery Produced from Nanostructured Titanium

Matchin,

Nosov,

Stadnikov

et al. 2023

ACS Biomater. Sci. Eng.

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“…The previous arch form and facial width may not be sufficiently restored by fractured bone reduction, which causes inconsistencies between dental occlusion and bone fracture reduction [ 31 ]. In addition to open surgical approaches with titanium plates, there are also alternative closed fixation treatments that can be implemented in various ways, including Erich arch bars, bone-supported arch bars, a direct bonding technique with orthodontic brackets, and passive splinted archwires [ 32 , 33 , 34 , 35 , 36 , 37 , 38 ]. Depending on the nature and location of a fracture, several approaches may be recommended for treating jaw fractures [ 33 , 39 , 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

Orthodontic Approaches in the Management of Mandibular Fractures: A Scoping Review

et al. 2023

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Non-surgical approaches have been proposed in the management of mandibular fractures, especially in children, but there is a lack of clear guidelines on the clinical indications of conservative approaches. The aim of this scoping review is to provide the available evidence of the role of the orthodontist in the management of mandibular fractures. The PRISMA-ScR guidelines were followed to select eligible articles from the PubMed, Scopus, and Web of Science databases according to precise inclusion criteria. The research questions were formulated as follows: “what is the scientific evidence concerning the rule of orthodontists in the management of mandibular fractures” and “the preferential use of the direct bonding technique with orthodontic brackets rather than rigid arch bars”? Seventeen articles were included. Five articles presented the use of removable acrylic splints or functional appliances, six articles concerned the employment of cemented acrylic or rigid splints, and six articles described the management of mandibular fractures in adults and children using orthodontic brackets or mini-screws. Most of these techniques have been employed in children and growing subjects, while fewer data were available regarding conservative treatments in adults. Preliminary evidence suggests that condylar and some minor parasymphyseal fractures in children may be managed with conservative approaches. In adults, minor condylar and stable body mandibular fractures with minimal displacement have been reduced similarly. However, there are no sufficient elements that could suggest the preferential use of orthodontic brackets over rigid arch bars in adults. Further randomized and non-randomized clinical trials with long follow-ups will be needed to better define the clinical indications of the orthodontic approaches in the management of mandibular fractures based on severity, location, and age.

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“…The aim is to avoid any force that could displace the fracture stumps during the healing period. MMF represents a more conservative alternative to ORIF and is generally performed using different fixation systems such as Erich arch bars, bone-supported arch bars, direct bonding technique with orthodontic brackets, and passive splinted arch wires [ 22 , 23 , 24 , 25 , 26 ]. However, there are also specific limitations even using this conservative approach, such as difficulty in the maintenance of oral hygiene, periodontal damage, and post-operative discomfort [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures

Grippaudo,

Lo Giudice,

Saponaro

et al. 2023

Bioengineering

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(1) Background: Mandibular fractures are very common. Common indications of closed treatment for mandibular fractures are non-displaced or minimally displaced simple fractures in adult compliant patients with good dentition, the absence of occlusal disruption, and fractures in growing children. In closed treatment, the mandible is maintained in centric occlusion with a maxillomandibular fixation (MMF) with orthodontic elastics. Many methods of MMF have been described, often using orthodontic appliances. In recent years, CAD-CAM technology has improved many procedures used in maxillofacial surgery and orthodontics. The device we present is manufactured following a digital workflow, and was designed specifically for MMF. (2) Materials: Two patients with mandibular fractures were treated with an MMF method whose procedure comprised scanning of the dental arches, followed by construction of thermoformed splints on which buttons for the elastics and retention holes are made. The splints were fixed on the dental arches with composite resin at the level of the holes, and were kept in place for the period of healing of the fracture, with the intermaxillary elastics hooked to the buttons. (3) Results: The application time of the splints was very quick. The splints remained stable for the necessary time, without causing particular discomfort to the patients. (4) Conclusions: From our experience, this technique has proved to be reliable and reproducible and could represent a valid tool in the closed treatment of mandibular fractures.

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European multicenter prospective analysis of the use of maxillomandibular fixation for mandibular fractures treated with open reduction and internal fixation

Cited by 8 publications

References 39 publications

In Vivo Studies of Medical Implants for Maxillofacial Surgery Produced from Nanostructured Titanium

In Vivo Studies of Medical Implants for Maxillofacial Surgery Produced from Nanostructured Titanium

Orthodontic Approaches in the Management of Mandibular Fractures: A Scoping Review

The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures

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