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The role of the titanium functionally dynamic bridging plate for the treatment of the atrophic mandible fractures.

Identifieur interne : 001635 ( Main/Curation ); précédent : 001634; suivant : 001636

The role of the titanium functionally dynamic bridging plate for the treatment of the atrophic mandible fractures.

Auteurs : Johannes Hachleitner [Autriche] ; Simon Enzinger [Autriche] ; Christian Brandtner [Autriche] ; Alexander Gaggl [Autriche]

Source :

RBID : pubmed:23932197

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Abstract

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.

DOI: 10.1016/j.jcms.2013.05.037
PubMed: 23932197

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<title xml:lang="en">The role of the titanium functionally dynamic bridging plate for the treatment of the atrophic mandible fractures.</title>
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<name sortKey="Hachleitner, Johannes" sort="Hachleitner, Johannes" uniqKey="Hachleitner J" first="Johannes" last="Hachleitner">Johannes Hachleitner</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Atrophy</term>
<term>Biocompatible Materials (chemistry)</term>
<term>Bone Plates</term>
<term>Bone Screws</term>
<term>Chin (innervation)</term>
<term>Dentures</term>
<term>Device Removal</term>
<term>Equipment Design</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Fracture Healing (physiology)</term>
<term>Fractures, Comminuted (surgery)</term>
<term>Humans</term>
<term>Jaw, Edentulous (pathology)</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Male</term>
<term>Mandible (pathology)</term>
<term>Mandible (surgery)</term>
<term>Mandibular Fractures (surgery)</term>
<term>Mandibular Nerve (physiopathology)</term>
<term>Mastication (physiology)</term>
<term>Paresthesia (therapy)</term>
<term>Retrospective Studies</term>
<term>Titanium (chemistry)</term>
<term>Touch (physiology)</term>
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<keywords scheme="KwdFr" xml:lang="fr">
<term>Ablation de dispositif</term>
<term>Appareils de prothèse dentaire</term>
<term>Atrophie</term>
<term>Conception d'appareillage</term>
<term>Consolidation de fracture (physiologie)</term>
<term>Femelle</term>
<term>Fractures comminutives ()</term>
<term>Fractures mandibulaires ()</term>
<term>Humains</term>
<term>Mandibule ()</term>
<term>Mandibule (anatomopathologie)</term>
<term>Mastication (physiologie)</term>
<term>Matériaux biocompatibles ()</term>
<term>Menton (innervation)</term>
<term>Mâchoire édentée ()</term>
<term>Mâchoire édentée (anatomopathologie)</term>
<term>Mâle</term>
<term>Nerf mandibulaire (physiopathologie)</term>
<term>Panne d'appareillage</term>
<term>Paresthésie ()</term>
<term>Plaques orthopédiques</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Titane ()</term>
<term>Toucher (physiologie)</term>
<term>Vis orthopédiques</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Biocompatible Materials</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr">
<term>Mandibule</term>
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en">
<term>Chin</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Jaw, Edentulous</term>
<term>Mandible</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Consolidation de fracture</term>
<term>Mastication</term>
<term>Toucher</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Fracture Healing</term>
<term>Mastication</term>
<term>Touch</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Nerf mandibulaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Mandibular Nerve</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Fractures, Comminuted</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Mandibular Fractures</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Paresthesia</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Atrophy</term>
<term>Bone Plates</term>
<term>Bone Screws</term>
<term>Dentures</term>
<term>Device Removal</term>
<term>Equipment Design</term>
<term>Equipment Failure</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Retrospective Studies</term>
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<term>Appareils de prothèse dentaire</term>
<term>Atrophie</term>
<term>Conception d'appareillage</term>
<term>Femelle</term>
<term>Fractures comminutives</term>
<term>Fractures mandibulaires</term>
<term>Humains</term>
<term>Mandibule</term>
<term>Matériaux biocompatibles</term>
<term>Menton</term>
<term>Mâchoire édentée</term>
<term>Mâle</term>
<term>Panne d'appareillage</term>
<term>Paresthésie</term>
<term>Plaques orthopédiques</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Titane</term>
<term>Vis orthopédiques</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<front>
<div type="abstract" xml:lang="en">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.</div>
</front>
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