Management of Bilateral Condylar Fractures in an Edentulous Patient with Atrophic Mandible Using CADCAM Technology

Duran-Rodriguez, Gabriel; Gómez-Delgado, Andrés; López, Juan Pablo

doi:10.1007/s12663-021-01652-8

Cited by 4 publications

(3 citation statements)

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“…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.…”

Section: Discussionmentioning

confidence: 99%

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March’s 2024 Full Issue PDF

2024

J. Diagn. Treat. Oral Maxillofac. Pathol.

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This is a monthly open access and peer-reviewed oral and maxillofacial surgeons. The journal is focused on trauma, microvascular and jaw reconstructive surgery, dental implants, salivary gland tumors/diseases, TMJ lesions, virtual surgical planning, implementation of ultrasonography into the practice of oral and maxillofacial surgeons. Editorial Board (EB) CompositionEB shows significant geographic diversity representing 34 opinion leaders from 14 countries: Brazil,

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Section: Discussionmentioning

confidence: 99%

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

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confidence: 99%

March’s 2024 Full Issue PDF

2024

J. Diagn. Treat. Oral Maxillofac. Pathol.

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“…Used in references Used for fracture types Materialise Mimics, Leuven, Belgium (Duran-Rodriguez et al;Hu et al, 2011;Liu et al, 2013Liu et al, , 2017Yang et al, 2013;el-Gengehi and Seif, 2015;Huang et al, 2015Huang et al, , 2020Li et al, 2015Li et al, , 2019Zhang et al, 2015Zhang et al, , 2021Wang et al, 2016aWang et al, , 2020bWang et al, , 2020aZeng et al, 2016;Merema et al, 2017;Castro-Núñez et al, 2018;Dreizin et al, 2018;Maini et al, 2018;Sinha et al, 2018;Chen et al, 2019;Hung et al, 2019;Marschall et al, 2019;Mishra et al, 2019;Liang et al, 2020;Ramanathan et al, 2020;Agarwal et al, 2021;IJpma et al, 2021;Nasr et al, 2021;He et al, 2022;Zheng et al, 2022) Total (n = 32): Pelvic/Acetabular fractures (n = 14), Craniomaxillofacial fractures (n = 12), Tibia fractures (n = 3), Humerus fractures (n = 1), Calcaneal fractures (n = 1), Other (n = 1) + 3-matic, Materialise, Leuven, Belgium (Duran-Rodriguez et al;Chen et al, 2019;Marschall et al, 2019;Mishra et al, 2019;Agarwal et al, 2021;IJpma et al, 2021;Zhang et al, 2021) + Geomagic, 3D systems, Rock Hill, SC, USA …”

Section: Systemmentioning

confidence: 99%

Computer-Assisted Preoperative Planning of Bone Fracture Fixation Surgery: A State-Of-The-Art Review

Moolenaar¹,

Tümer²,

Checa³

2022

Preprint

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Background Bone fracture fixation surgery is one of the most commonly performed surgical procedures in the orthopedic field. However, fracture healing complications occur frequently, and the choice of the most optimal surgical approach often remains challenging. In the last years, computational tools have been developed with the aim to assist preoperative planning procedures of bone fracture fixation surgery. Objectives The aims of this review are (1) to provide a comprehensive overview of the state-of-the-art in computer-assisted preoperative planning of bone fracture fixation surgery, (2) to assess the clinical feasibility of the existing virtual planning approaches, and (3) to assess their clinical efficacy in terms of clinical outcomes as compared to conventional planning methods. Methods A literature search was performed in the MEDLINE-PubMed, Ovid-EMBASE, Ovid-EMCARE, Web of Science, and Cochrane libraries to identify articles reporting on the clinical use of computer-assisted preoperative planning of bone fracture fixation. Results 79 articles were included to provide an overview of the state-of-the art in virtual planning. While patient-specific geometrical model construction, virtual bone fracture reduction, and virtual fixation planning are routinely applied in virtual planning, biomechanical analysis is rarely included in the planning framework. 21 of the included studies were used to assess the feasibility and efficacy of computer-assisted planning methods. The reported total mean planning duration ranged from 22 to 258 minutes in different studies. Computer-assisted planning resulted in reduced operation time (Standardized Mean Difference (SMD): -2.19; 95% Confidence Interval (CI): -2.87, -1.50), less blood loss (SMD: -1.99; 95% CI: -2.75, -1.24), decreased frequency of fluoroscopy (SMD: -2.18; 95% CI: -2.74, -1.61), shortened fracture healing times (SMD:-0.51; 95% CI: -0.97, -0.05) and less postoperative complications (Risk Ratio (RR): 0.64, 95% CI: 0.46, 0.90). No significant differences were found in hospitalization duration. Some studies reported improvements in reduction quality and functional outcomes but these results were not pooled for meta-analysis, since the reported outcome measures were too heterogeneous. Conclusions Current computer-assisted planning approaches are feasible to be used in clinical practice and have been shown to improve clinical outcomes. Including biomechanical analysis into the framework has the potential to further improve clinical outcome.

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Partially Edentulous Arches and Bilateral Mandibular Fracture: Application of Condensation-Silicone Bite Block-Splint, Mandibulo-Maxillary Fixation Screws, and Elastics for Intraoral Immobilization

Fesenko,

Rybak,

Mastakov

2024

J. Diagn. Treat. Oral Maxillofac. Pathol.

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Each mandibular fracture is unique. It requires individual treatment solutions due to different number of fracture sites, fracture terms, level of dislocation, presence/absence of the infection, number, location, and condition of teeth, etc. Management of jaw fractures in partially edentulous arches are even more complicated and typically can involve assistance of a dental technician. Published English language literature lacks information about application of condensation silicone (C-silicone) bite block-splint with mandibulo-maxillary fixation (MMF) screws and elastics for management of bilateral mandibular fracture. This is why we present this novel technique developed by our team based on fracture treatment in a 38-year-old male partially edentulous patient. Also, we introduce a Kyiv’s Modification of the Kennedy Classification System of the partially edentulous arches useful for mandible fracture cases. The Kennedy–Kyiv Classification System considers the non-treated teeth roots as supporting locking points (temporary additional retention points) that increase the stability of the bite block-splint and decrease probability of micromovements. Moreover, it contraindicates extracting such teeth roots immediately before the block-splint fixation as extraction of such roots can provoke the alveolar osteitis upon the fracture site(s) healing and immobilization period what will increase the risk of the block removal for the treatment of osteitis. A review of published MMF techniques and appliances designed for mandible fracture treatment is performed. Multiple appliances for partially and totally edentulous mandibles are considered as well as for the dentulous jaws. The Gunning-type splints and its modifications were considered. An in-chair fabrication of C-silicone bite block-splint and its combined application with MMF screws and elastics is a novel alternative for the Gunning splint. This appliance allows to decrease the time typically required for the Gunning splints fabrication, decreases number of the involved specialists, decreases cost of treatment, and easy for performance.

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Management of Bilateral Condylar Fractures in an Edentulous Patient with Atrophic Mandible Using CADCAM Technology

Cited by 4 publications

References 10 publications

March’s 2024 Full Issue PDF

March’s 2024 Full Issue PDF

Computer-Assisted Preoperative Planning of Bone Fracture Fixation Surgery: A State-Of-The-Art Review

Partially Edentulous Arches and Bilateral Mandibular Fracture: Application of Condensation-Silicone Bite Block-Splint, Mandibulo-Maxillary Fixation Screws, and Elastics for Intraoral Immobilization

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