Mitek anchors for treatment of chronic mandibular dislocation.
OBJECTIVE
The purpose of this study was to present a new technique for limiting mandibular translation in patients with chronic mandibular dislocation. TECHNIQUE DESIGN: This relatively simple procedure uses 2 Mitek mini bone anchors with osseointegration potential. One anchor is placed in the lateral pole of the condyle, and the other is placed in the posterior root of the zygomatic arch. Heavy suture material is threaded through the eyelet of each anchor and tightened to function as a restraining ligament.


RESULTS
This technique has been used on 5 patients with a follow-up of 2 to 4 years, with no failures.


CONCLUSIONS
This technique provides an effective method for the prevention of condylar dislocation while permitting some controlled translation.
Wolford
L M
LM
Baylor College of Dentistry, Texas A&M University System, Dallas, Tex, USA. lwolford@swbell.net
Pitta
M C
MC
Mehra
P
P
D002908:Chronic Disease; D004867:Equipment Design; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000503:physiopathology / Q000601:surgery*; D008335:Mandibular Condyle / Q000503:physiopathology / Q000601:surgery*; D009984:Orthopedic Fixation Devices; D016348:Osseointegration; D016059:Range of Motion, Articular; D012008:Recurrence; D013536:Suture Techniques / Q000295:instrumentation; D013537:Sutures; D019224:Temporomandibular Joint Disc / Q000601:surgery; D013705:Temporomandibular Joint Disorders / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D015050:Zygoma / Q000601:surgery