Result of Maxillomandibular Fixation Using Intraoral Cortical Bone Screws for Condylar Fractures of the Mandible

Conservative treatment of a mandibular condyle fracture: Comparing intermaxillary fixation with screws or arch bar. A randomised clinical trial

“…Furthermore, gingival health is easier to maintain and IMFS are easily and painlessly removed (Gordon et al, 1995;Coburn et al, 2002;Roccia et al, 2005;Arthur and Berardo, 1989;Ho et al, 2000;Laurentjoye et al, 2009;Onishi and Maruyama, 1996;Schneider et al, 2000;Hashemi and Parhiz, 2011). Related to this there is reduced risk of needlestick injury to the surgeon as the need for placing interdental wiring is absent (Laurentjoye et al, 2009), while operation time is considerably reduced compared with IMF techniques with arch bars (Roccia et al, 2005;Schneider et al, 2000;Rai et al, 2011;West et al, 2014). Several case reports and some retrospective studies support the usefulness of the IMFS technique (Onishi and Maruyama, 1996;Coletti et al, 2007;Gerlach and Schwarz, 2002;Jones, 1999).…”

“…Potential surgical complications include the fracture of the screw on insertion, iatrogenic damage to dental roots, causing bony sequestra around the area of screw placement and loss of teeth (Coburn et al, 2002;Roccia et al, 2005;Hashemi and Parhiz, 2011). Postoperative complications include infection associated with screws, loss or loosening of screws, screws covered by oral mucosa, postoperative malocclusion and paraesthesia due to injury to the mental or inferior alveolar nerve (Hashemi and Parhiz, 2011;Coletti et al, 2007;Roccia et al, 2005;Coburn et al, 2002;Laurentjoye et al, 2009).…”

Management of paediatric mandibular condylar fractures with screw-based semi-rigid intermaxillary fixation

“…A proper available screw thread length is essential for avoiding dental damage. The screw thread length used in the present study was 5 or 7 mm; in adult patients screws of 7 or 9 mm length are used 18 . Figure 4 shows that the tooth roots were not affected using this type of screw (Fig.…”

Is There Enough Evidence to Regularly Apply Bone Screws for Intermaxillary Fixation in Mandibular Fractures?

“…The remaining 6 articles described comparable results ranging from 13.0 to 18.67 minutes. 9,10,17,18,23,26 Four studies described the time required for removal of the screws, ranging from 5.8 to 15.0 minutes. 10,13,15,17 …”

“…Although most studies reported that (sub)condylar fractures benefited less from IMFS treatment, some studies reported very acceptable malocclusion rates (0 to 4.4%) when treating nonsurgical condylar fractures. 8,23 However, prolonged postoperative traction can be limited owing to premature screw loosening commonly reported in several studies. 5,10,14,17,29 Various studies reported insufficient postoperative traction with IMFSs, sometimes followed by switching to arch bars for the correction of occlusal discrepancies.…”