The role of the titanium functionally dynamic bridging plate for the treatment of the atrophic mandible fractures.
The role of the titanium functionally dynamic bridging plate (TFDBP) in the fracture treatment of the severely atrophic mandible was assessed retrospectively. In 28 consecutive patients with fractures of a severely atrophic mandible fixation was carried out with TFDBPs. Twenty-one patients with 27 fractures were included in the study and then followed up for complications and the progress of fracture healing for 17 months postoperatively on average. There was only one case that required plate removal. All patients showed bone healing 3 months after surgery. The mental nerve sensation improved in 12 out of 23 fractures that had presented with nerve function disturbance. Every patient who had dentures prior to sustaining the fracture was able to return to denture wearing 3 weeks after surgery. No major complications occurred. A high proportion of bone healing with a low complication rate was observed with the use of TFDBPs in the treatment of severely atrophic mandible fractures. The TFDBP is an excellent alternative to conventional plating of the severely atrophic mandible.
Department of Oral and Maxillofacial Surgery (Head: Prof. DDr. Alexander Gaggl), Paracelsus Medical University, LKH Salzburg, Müllner Hauptstrasse 48, A-5020 Salzburg, Austria. Electronic address: j.hachleitner@salk.at.
Johannes
J
Hachleitner
Department of Oral and Maxillofacial Surgery (Head: Prof. DDr. Alexander Gaggl), Paracelsus Medical University, LKH Salzburg, Müllner Hauptstrasse 48, A-5020 Salzburg, Austria.
Simon
S
Enzinger
Department of Oral and Maxillofacial Surgery (Head: Prof. DDr. Alexander Gaggl), Paracelsus Medical University, LKH Salzburg, Müllner Hauptstrasse 48, A-5020 Salzburg, Austria.
Christian
C
Brandtner
Department of Oral and Maxillofacial Surgery (Head: Prof. DDr. Alexander Gaggl), Paracelsus Medical University, LKH Salzburg, Müllner Hauptstrasse 48, A-5020 Salzburg, Austria.
Alexander
A
Gaggl
D000368:Aged; D000369:Aged, 80 and over; D001284:Atrophy; D001672:Biocompatible Materials / Q000737:chemistry*; D001860:Bone Plates; D001863:Bone Screws; D002680:Chin / Q000294:innervation; D003778:Dentures; D020878:Device Removal; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D007575:Jaw, Edentulous / Q000473:pathology / Q000601:surgery; D008297:Male; D008334:Mandible / Q000473:pathology / Q000601:surgery; D008337:Mandibular Fractures / Q000601:surgery*; D008340:Mandibular Nerve / Q000503:physiopathology; D008409:Mastication / Q000502:physiology; D010292:Paresthesia / Q000628:therapy; D012189:Retrospective Studies; D014025:Titanium / Q000737:chemistry*; D014110:Touch / Q000502:physiology
D001672:Biocompatible Materials; D014025:Titanium
Bridging plate; Edentulous mandible; Fracture; Osteosynthesis