Enforced Intermaxillary Fixation (IMF) as a Treatment for Obesity
Identifieur interne : 002958 ( Istex/Corpus ); précédent : 002957; suivant : 002959Enforced Intermaxillary Fixation (IMF) as a Treatment for Obesity
Auteurs : Hugh CannellSource :
- Obesity Surgery [ 0960-8923 ] ; 1992-08-01.
English descriptors
- KwdEn :
- Arch bars, Artificial teeth, Bariatric surgery, Cleats, Dental arch, Dietary advice, Edentulous patients, Fixation, Further patients, High quality leather belt, Linkage, Liquid diet, Lower splints, Nylon cord, Obese, Obese patients, Obesity, Obesity surgery, Oral surg, Other forms, Previous experience, Rigid linkage, Severe disability, Severe obesity, Solid diet, Splint, Turner street, Various forms, Weight gain, Weight loss, Weight reduction, Wires stretch, Wiring.
- Teeft :
- Arch bars, Artificial teeth, Bariatric surgery, Cleats, Dental arch, Dietary advice, Edentulous patients, Fixation, Further patients, High quality leather belt, Linkage, Liquid diet, Lower splints, Nylon cord, Obese, Obese patients, Obesity, Obesity surgery, Oral surg, Other forms, Previous experience, Rigid linkage, Severe disability, Severe obesity, Solid diet, Splint, Turner street, Various forms, Weight gain, Weight loss, Weight reduction, Wires stretch, Wiring.
Abstract
Intermaxillary fixation (IMF) using metal cap splints and various linkages was tried in a group of 11 patients who had requested restriction of solid diet as a treatment for their obesity (Quetelet's index > 25-35). Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.
Url:
DOI: 10.1381/096089292765560097
Links to Exploration step
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<front><div type="abstract" xml:lang="en">Intermaxillary fixation (IMF) using metal cap splints and various linkages was tried in a group of 11 patients who had requested restriction of solid diet as a treatment for their obesity (Quetelet's index > 25-35). Compliance with treatment protocols was successfully addressed by means of support from physicians, dietitians, clinical psychologists and by peer groups. Non-compliance was defined and agreed. The full cap splints for each dental arch, linked and enforced by special rigid locking devices, proved to be a reliable technique of IMF for periods of up to 3 months. Thereafter, the majority of the patients attempted interference with the IMF linkage or detached the splints. Eight patients gained weight after removal of the IMF. Two patients were successful in weight stabilization after 2-14 kg weight loss during IMF. It is probable that psychological and personal factors contributed to their success. It was concluded that by itself, rigidly enforced IMF for 3 months or longer was an unsuitable treatment mode for the majority of obese patients but could be used as a preparation for other forms of bariatric surgery.</div>
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