title: The Use of 2.4-mm Locking Plate System in Treating Comminuted Mandibular Fracture by Firearm.
abstract: Maxillofacial trauma caused by firearms has considerably increased, in which the mandibular body is the site of highest incidence of firearm projectiles. In these cases, the use of titanium plates and screws allows the early restoration of form and function of the mandible with stable and predictable results. Recently, conventional plates have been extensively used to treat comminuted mandibular fractures. Nevertheless, the conventional system presents several limitations such as screw compression against the bone interface and the necessity of precise fit of plate to the bone. To overcome such drawbacks, the locking plates have emerged. The present clinical case reported the operative treatment of mandibular fracture caused by firearm projectiles with the use of locking plate. The indications, advantages, and disadvantages of this system are presented.
authors.affiliation: Surgery and Integrated Clinic, Aracatuba Dental School, Araçatuba.
authors.forename: Cassiano Costa Silva
authors.initials: CC
authors.lastname: Pereira
authors.forename: Pâmela
authors.initials: P
authors.lastname: Letícia Dos Santos
authors.forename: Ellen Cristina Gaetti
authors.initials: EC
authors.lastname: Jardim
authors.forename: Idelmo Rangel Garcia
authors.initials: IR
authors.lastname: Júnior
authors.forename: Elio Hitoshi
authors.initials: EH
authors.lastname: Shinohara
authors.forename: Marcelo Marotta
authors.initials: MM
authors.lastname: Araujo
keywords: firearm; fixation; mandibular fracture; plates