title: Rapid, conservative, multidisciplinary miniscrew-assisted approach for treatment of mandibular fractures following plane crash.
abstract: Mandibular fractures are among the most common facial injuries. This case report demonstrates the efficacy of simultaneous usage of miniscrews and direct bonding techniques without open reduction in an extensive traumatized patient. A 25-year-old girl with multiple injuries in the head and facial region 1 month after a plane crash accident was referred to manage the mandibular fractures. Due to the presence of multiple injuries, a conservative treatment of symphysiseal fracture was performed. In order to keep the fractured fragments of the mandible close together, the anterior teeth of the lower arch were tied by means of the orthodontic wire. Ten miniscrews were used to improve the anchorage units and also, settling the occlusion by means of light intermaxillary elastics. Following the active treatment, clinical and radiographic analysis showed satisfactory healing without any periodontal involvement of the teeth in the fracture line.
authors.affiliation: Preventive Dentistry Research Center, Research Institute of Dental Sciences, Tehran, Iran.
authors.forename: Azita
authors.initials: A
authors.lastname: Tehranchi
authors.affiliation: Department of Oral and Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Behnia
authors.affiliation: Department of Orthodontics, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Farnaz
authors.initials: F
authors.lastname: Younessian
authors.affiliation: Department of Orthodontics, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mostafa Sadeghi
authors.initials: MS
authors.lastname: Ghochani
keywords: Mandibular fracture; miniscrew; orthodontics; trauma