Conservative Treatment of Comminuted Mandibular Fracture Involving Maxillomandibular Fixation With Miniplates

Abstract

Bars and steel wires are the most commonly used methods to achieve maxillomandibular fixation, although there are numerous alternatives described for this same purpose. In cases of edentulous candidates for the conservative treatment of facial fractures, none of the conventional methods can be instituted for maxillomandibular fixation. Fixation in such cases is achieved with the aid of the total dentures of the patient or the confection of splints, but these methods lead to eating and oral hygiene problems. This article reports the case of an edentulous patient with a comminuted mandible fracture treated with a rarely described technique in which intermaxillary fixation was achieved with titanium miniplates.

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“…However, the treatment of partially or totally edentulous mandibular fractures requires other tactics or their combinations. For example, for the partially edentulous mandibular fractures can be used intermaxillary transmucosal fixation by osteosynthesis miniplates (Melo and colleagues, 2012), 22 the SMARTLock hybrid arch bars (Carlson and colleagues, 2017), 23 pre-existing removable partial dentures as modified splint for intermaxillary fixation (Prajapati and Sathaye, 2018), 24 Weber splint (Tymofieiev, 2020), 25 etc. For the totally edentulous mandibular fractures was and can be used intermaxillary transmucosal fixation by osteosynthesis miniplate (Wolfe and colleagues, 1989), 26 a Gunning splint with skeletal suspension and MMF (Buchbinder, 1993), 27 Port splint (Tymofieiev, 2012), 17 the resin bite blocks with imbedded arch bars (i.e., Gunning splint) (Chacon and Larsen, 2004; Sharma and colleagues, 2020) 14,5 and MMF, the MMF screws to fix intact complete dentures to the bone with elastics (Newaskar and colleagues, 2013), 28 Gunning splint modified to complete dentures prosthesis (Shah and colleagues, 2018), 4 virtually planned Gunning splints fabricated with wings and holes projected in areas of secure bone anchorage (Duran-Rodriguez and colleagues, 2022), 29 and other similar techniques.…”

“…J DIAGN TREAT ORAL MAXILLOFAC PATHOL 2024; 8(3):[20][21][22][23][24][25][26][27][28][29][30][31][32] …”