Use of Two Miniplates for Intermaxillary Skeletal Fixation in the Treatment of Jaw Deformity and Fracture.

Abstract

Special techniques of skeletal intermaxillary fixation are described, which may be used in edentulous patients or those with many missing teeth or multiple fractures of the jaw. Two such cases are described in which the usual fixation techniques could not provide sufficient stabilization because of linguoversion and mesioversion or lack of teeth, resulting in inability to maintain a vertical interocclusal relationship.Two long eight-hole Champy miniplates were therefore used distally to the canines on both sides. In the first case, they provided fixation following a sagittal ramus osteotomy to advance the mandible, and in the second case they were used in the treatment of a mandibular fracture.

Conservative Treatment of Comminuted Mandibular Fracture Involving Maxillomandibular Fixation With Miniplates

“…14 A search for articles on this subject in the English language between 1980 and 2010 in the PubMed databank produced only 3 similar cases. 15, 16 Wolfe et al 15 reported a case in which only 1 miniplate in the anterior region was used to provide intermaxillary fixation in an edentulous patient with multiple facial fractures following an assault with a baseball bat. This intermaxillary fixation remained for 8 weeks, and no complications were observed in this timeframe.…”

Zur Osteosynthese bei Frakturen im zahnlosen atrophen Unterkiefer – Möglichkeiten zum Hardware Downsizing, Lingual Plating

“…B. mittels Klemmen) in Kontakt gebracht, bevor die Frakturzone ruhig gestellt wird. Ein einfaches und interessantes Verfahren zur Fragmentimmobilisation durch maxillomandibuläre Fixation im zahnlosen Kiefer ist die Applikation von Miniplatten zur Distanzüberbrückung zwischen Ober-und Unterkiefer unter Aufrechterhaltung der vertikalen Kieferrelation [19,20]. Dazu werden die Plattenenden von ca.…”