Intermaxillary Fixation of Mandibular Fractures using a Bilayer Thermoforming Plate

Mandibular fractures have a high incidence among maxillofacial fractures. Intermaxillary fixation (IMF) is used to treat mandibular fractures and one common procedure involves fixation using steel wire and a splint (wire fixation). This wire fixation offers strong fixing force, but often requires in...

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Veröffentlicht in:Journal of Hard Tissue Biology 2017/07/01, Vol.26(3), pp.301-304
Hauptverfasser: Hayase, Tomoyoshi, Nakajima, Yoichiro, Kato-Kogoe, Nahoko, Nakano, Hiroyuki, Sano, Kazuo, Yoshimura, Hitoshi, Ariyoshi, Yasunori, Ueno, Takaaki
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container_end_page 304
container_issue 3
container_start_page 301
container_title Journal of Hard Tissue Biology
container_volume 26
creator Hayase, Tomoyoshi
Nakajima, Yoichiro
Kato-Kogoe, Nahoko
Nakano, Hiroyuki
Sano, Kazuo
Yoshimura, Hitoshi
Ariyoshi, Yasunori
Ueno, Takaaki
description Mandibular fractures have a high incidence among maxillofacial fractures. Intermaxillary fixation (IMF) is used to treat mandibular fractures and one common procedure involves fixation using steel wire and a splint (wire fixation). This wire fixation offers strong fixing force, but often requires in-hospital management for potential response to the complications such as vomiting. Other difficulties include invasiveness to the patient and the large burden placed on the surgeon during wire fixation. We had been performing IMF using a bilayer thermoforming plate (BTP), and we have good results. This type of IMF employs a bite plate that reproduces the occlusal pattern prior to injury on the basis of models of the maxilla and mandible, and it can be detached on its own. Sufficient fixation was achieved during IMF without bone separation or occlusal deviation. IMF using a removable BTP might be a treatment option that prevents a decrease in quality of life and allows well-maintained oral hygiene without lowering the quality of meals.
doi_str_mv 10.2485/jhtb.26.301
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Intermaxillary fixation (IMF) is used to treat mandibular fractures and one common procedure involves fixation using steel wire and a splint (wire fixation). This wire fixation offers strong fixing force, but often requires in-hospital management for potential response to the complications such as vomiting. Other difficulties include invasiveness to the patient and the large burden placed on the surgeon during wire fixation. We had been performing IMF using a bilayer thermoforming plate (BTP), and we have good results. This type of IMF employs a bite plate that reproduces the occlusal pattern prior to injury on the basis of models of the maxilla and mandible, and it can be detached on its own. Sufficient fixation was achieved during IMF without bone separation or occlusal deviation. 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ispartof Journal of Hard Tissue Biology, 2017/07/01, Vol.26(3), pp.301-304
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subjects Bilayer thermoforming plate
Bite plate
Complications
Fixation
Fractures
Intermaxillary fixation
Invasiveness
Mandible
Mandibular fractures
Maxilla
Maxillofacial
Meals
Oral hygiene
Quality of life
Steel
Steel wire
Thermoforming
Vomiting
title Intermaxillary Fixation of Mandibular Fractures using a Bilayer Thermoforming Plate
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