Can the Mechanism of Injury Impact the Location of a Mandibular Fracture? A Systematic Review

Hesham, Abdulrahman; Geiger, Joseph; Alshamrani, Yousef; Sawatari, Yoh

doi:10.1007/s12663-022-01750-1

Cited by 2 publications

(2 citation statements)

References 40 publications

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“…The mechanism of the injury is crucial to evaluate since it gives the doctor a hint as to whether there are any concurrent injuries that can impede healing or call for a different type of therapy [ 1 , 14 , 15 , 16 , 17 , 18 , 19 ]. The condition of the occlusion, which can be aberrant in more than 80% of mandibular fractures, is the most crucial element in determining whether a mandible fracture needs a surgical intervention [ 20 , 21 ].…”

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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Section: Introductionmentioning

confidence: 99%

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

et al. 2023

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“…From the clinical perspective, it is important to establish the treatment strategy for managing clinical fractures, including the decision between the surgical or the conservative approach [ 1 , 9 , 10 , 11 ]. The most important factor in deciding whether or not a mandible fracture requires surgical intervention is the status of the occlusion, which can be aberrant in more than 80% of mandibular fractures [ 12 , 13 ].…”

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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Can the Mechanism of Injury Impact the Location of a Mandibular Fracture? A Systematic Review

Cited by 2 publications

References 40 publications

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

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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