Self-tapping and self-drilling screws for intermaxillary fixation in management of mandibular fractures

Fabio Roccia, Paolo Rossi, Cesare Gallesio, Paolo Boffano

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Abstract

The current study evaluated the success and the possible complication of intermaxillary fixation with self-tapping and self-drilling screws (STSDSs) in nondislocated or slightly dislocated mandibular fractures.Forty patients with mandibular fractures, treated with intermaxillary fixation using STSDSs, were clinically assessed by means of a dental vitality test and evaluation of tooth mobility adjacent to the cortical screw holes, and radiologically by means of a panoramic dental radiograph upon removal of the screws.The main complication was screw loss in 4.4% of cases, followed by coverage by oral mucosa in 1.2% of cases. However, no dental root damage, screw breakage, malocclusion, or poor consolidation of mandibular fractures was observed.The use of STSDSs for intermaxillary fixation is a useful alternative to the use of arch bars in the treatment of some types of mandibular fractures. In addition, there is no risk of dental lesions as with self-tapping screws.

Lingua originaleInglese
pagine (da-a)68-70
Numero di pagine3
RivistaJournal of Craniofacial Surgery
Volume20
Numero di pubblicazione1
DOI
Stato di pubblicazionePubblicato - 2009
Pubblicato esternamente

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