Comparison of Efficacy and Safety of Hybrid Arch Bar with Erich Arch Bar in the Management of Mandibular Fractures: A Randomized Clinical Trial

Sankar, Hariram; Rai, Sachin; Jolly, Satnam Singh; Rattan, Vidya

doi:10.1177/19433875221080019

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…The IMF approaches include the conventional [ 32 , 62 , 67 , 69 ] or mini-screw-retained arch bars [ 32 , 75 , 76 ] and occlusal splints fixed with circummandibular wiring that have also been applied in children and are usually managed by maxillofacial surgeons [ 56 , 77 , 78 ]. On the other hand, the most conservative orthodontic approaches may include the use of mini-screws and elastics [ 66 ], bonded orthodontic brackets and elastics [ 71 ], or removable or cemented occlusal splints with possible functional exercises [ 67 , 68 ].…”

Section: Discussionmentioning

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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