Direct bonded orthodontic brackets for maxillomandibular fixation

Abstract

MMF/DBB can serve as the single treatment method with satisfactory results in patients with favorable, less complicated mandible fractures, although with increased experience, we have treated several more complex cases with MMF/DBB alone. In cases necessitating ORIF, MMF/DBB can be performed preoperatively to align fracture segments and reestablish occlusion. This facilitates placement of osteosynthesis plates and reduces ORIF operative time. MMF/DBB is an economical, safe technique that minimizes blood-borne-pathogen risk to the operative team, eliminates periodontal injury, facilitates postoperative dental hygiene, and is painless to apply and remove.

Conservative orthodontic fixed appliance management of pediatric mandibular bilateral condylar fracture

“…[26][27][28] Disadvantages of arch bar intermaxillary fixation include an unacceptably high glove perforation rate associated with arch bar placement, risk of blood-borne pathogen infection in maxillofacial trauma, need for general anesthesia to place the arch bars, the effects of the arch bar on dental enamel and gingiva, increased discomfort, prolonged treatment, poor oral hygiene, and the likelihood of gingival injury. 6,28 The orthodontic bracketing that we used offers an acceptable and less threatening procedure to a pediatric patient and resulted in high patient comfort and acceptance. The use of elastics for fixation in this patient was not intermaxillary fixation in the strict sense of the word, since there was some functional activity and he could remove the elastics at least once a day.…”

Reduction of mandible fractures with direct bonding technique and orthodontic appliances: two case reports

“…Sindet‐Pedersen and Jensen (10) used a similar method but substituted continuous bracket bars to fit the teeth. Utley put brackets onto each tooth and inserted an arch wire to splint them (11). However, bending a wire to fit perfectly into the slots is very difficult.…”

Midfacial Fractures: A Scoring Method and Validation on 117 Patients

“…The most accurate reconstruction of the vertical dimension of the MR is achieved with ''open reduction'' of the vertical buttresses if the fracture dislocations are able to be seen on CT scans [8]. A recent study provided by Jack et al [9] demonstrated that open treatment and rigid fixation with titanium plates and screws results in a good overall outcome and a relatively low postoperative complication rate.…”

“…A recent study provided by Jack et al [9] demonstrated that open treatment and rigid fixation with titanium plates and screws results in a good overall outcome and a relatively low postoperative complication rate. A prolonged period of jaw immobilization (for 4-6 weeks) with multiple interosseous wires can be eliminated if rigid internal fixation devices are used to stabilize the maxillary fracture fragments [8].…”

“…However, ''closed reduction'' and maxillomandibular fixation are adequate management of less complex, minimally displaced maxillary fractures [8].…”