title: Intraoral technique for locking reconstruction plate fixation using an implant handpiece with adapted drills.
abstract: Locking reconstruction plates are used in the treatment of jaw trauma and diseases if there is a need for surgical resection and to prevent pathologic fracture after tumor excision. Fixation is typically performed using an extraoral approach.
  
  
  
  This article describes a technique for the intraoral fixation of locking reconstruction plates that uses prototyping to model the plate before the procedure as well as an implant handpiece with adapted drills for bone drilling and the insertion of screws into relatively inaccessible areas.
  
  
  
  Intraoral fixation not only prevents nerve damage and facial scarring but also minimizes the plate's risk of extraoral exposure and reduces surgical morbidity. © 2016 Wiley Periodicals, Inc. Head Neck 38: 1436-1439, 2016.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Orion Luiz
authors.initials: OL
authors.lastname: Haas
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Neimar
authors.initials: N
authors.lastname: Scolari
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Lucas da Silva
authors.initials: Lda S
authors.lastname: Meirelles
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Otávio Emmel
authors.initials: OE
authors.lastname: Becker
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Marcelo Fernandes Santos
authors.initials: MF
authors.lastname: Melo
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Vinícius Nery
authors.initials: VN
authors.lastname: Viegas
authors.affiliation: Department of Oral and Maxillofacial Surgery, Pontificial Catholic University of Rio Grande do Sul (PUC/RS), Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Rogério Belle
authors.initials: RB
authors.lastname: de Oliveira
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D005598:Fractures, Spontaneous / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008297:Male; D008337:Mandibular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods; D011862:Radiography, Panoramic / Q000379:methods; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
keywords: cryotherapy; implant handpiece; locking reconstruction plate; odontogenic tumor; pathologic fracture