Document Detail


Self-tapping and self-drilling screws for intermaxillary fixation in management of mandibular fractures.
MedLine Citation:
PMID:  19164992     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The current study evaluated the success and the possible complication of intermaxillary fixation with self-tapping and self-drilling screws (STSDSs) in nondislocated or slightly dislocated mandibular fractures.Forty patients with mandibular fractures, treated with intermaxillary fixation using STSDSs, were clinically assessed by means of a dental vitality test and evaluation of tooth mobility adjacent to the cortical screw holes, and radiologically by means of a panoramic dental radiograph upon removal of the screws.The main complication was screw loss in 4.4% of cases, followed by coverage by oral mucosa in 1.2% of cases. However, no dental root damage, screw breakage, malocclusion, or poor consolidation of mandibular fractures was observed.The use of STSDSs for intermaxillary fixation is a useful alternative to the use of arch bars in the treatment of some types of mandibular fractures. In addition, there is no risk of dental lesions as with self-tapping screws.
Authors:
Fabio Roccia; Paolo Rossi; Cesare Gallesio; Paolo Boffano
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  20     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-23     Completed Date:  2009-05-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  68-70     Citation Subset:  D    
Affiliation:
Division of Maxillofacial Surgery, San Giovanni Battista Hospital, Turin, Italy. Fabio.Roccia@poste.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Bone Screws* / adverse effects,  classification
Bone Wires
Dental Pulp Test
Dislocations / radiography,  surgery
Equipment Design
Equipment Failure
Female
Follow-Up Studies
Humans
Iatrogenic Disease
Jaw Fixation Techniques / instrumentation*
Male
Mandibular Condyle / injuries,  surgery
Mandibular Fractures / radiography,  surgery*
Middle Aged
Mouth Mucosa / pathology
Prospective Studies
Radiography, Panoramic
Titanium
Tooth Mobility / etiology
Tooth Root / injuries
Young Adult
Chemical
Reg. No./Substance:
7440-32-6/Titanium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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