Is the Erich arch bar the best intermaxillary fixation method in maxillofacial fractures? A systematic review
Identifieur interne : 005C14 ( Ncbi/Curation ); précédent : 005C13; suivant : 005C15Is the Erich arch bar the best intermaxillary fixation method in maxillofacial fractures? A systematic review
Auteurs : Saulo-Gabriel Falci [Brésil] ; Dhelfeson-Willya Douglas-De-Oliveira [Brésil] ; Paulo-Eduardo-Melo Stella [Brésil] ; Cássio-Roberto Rocha-Dos Santos [Brésil]Source :
- Medicina Oral, Patología Oral y Cirugía Bucal [ 1698-4447 ] ; 2015.
Abstract
Intermaxillary fixation is used to achieve proper occlusion during and after oral and maxillofacial fracture surgery. The aim of this systematic review was to compare Erich arch bar fixation with other intermaxillary fixation methods in terms of the operating time, safety during installation, oral health maintenance and occlusal stability.
An electronic online search was conducted of the Scirus, PubMed, Ovid, Cochrane Library and VHL databases. A clinical trial dating from the inception of the data bases until August 2013 was selected. Studies that compared Erich arch bars with other intermaxillary fixation methods in patients older than 18 years-old were included. The studies were assessed by two independent reviewers. The methodological quality of each article was analyzed.
Nine hundred and twenty-five manuscripts were found. Seven relevant articles were analyzed in this review. The risk of bias was considered moderate for four studies and high for three clinical trials.
There is not enough evidence to conclude that the Erich arch bar is the best intermaxillary fixation method in cases of oral and maxillofacial fractures.
Url:
DOI: 10.4317/medoral.20448
PubMed: 26034929
PubMed Central: 4523263
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<affiliation wicri:level="2"><nlm:aff id="A1">PhD. DDS. PhD. Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil</nlm:aff>
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<author><name sortKey="Douglas De Oliveira, Dhelfeson Willya" sort="Douglas De Oliveira, Dhelfeson Willya" uniqKey="Douglas De Oliveira D" first="Dhelfeson-Willya" last="Douglas-De-Oliveira">Dhelfeson-Willya Douglas-De-Oliveira</name>
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<affiliation wicri:level="2"><nlm:aff id="A1">PhD. DDS. PhD. Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil</nlm:aff>
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<author><name sortKey="Rocha Dos Santos, Cassio Roberto" sort="Rocha Dos Santos, Cassio Roberto" uniqKey="Rocha Dos Santos C" first="Cássio-Roberto" last="Rocha-Dos Santos">Cássio-Roberto Rocha-Dos Santos</name>
<affiliation wicri:level="2"><nlm:aff id="A1">PhD. DDS. PhD. Department of Oral and Maxillofacial Surgery, School of Dentistry, Federal University of Vales do Jequitinhonha e Mucuri, Diamantina, MG, Brazil</nlm:aff>
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<series><title level="j">Medicina Oral, Patología Oral y Cirugía Bucal</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Intermaxillary fixation is used to achieve proper occlusion during and after oral and maxillofacial fracture surgery. The aim of this systematic review was to compare Erich arch bar fixation with other intermaxillary fixation methods in terms of the operating time, safety during installation, oral health maintenance and occlusal stability.</p>
</sec>
<sec><title>Material and Methods</title>
<p>An electronic online search was conducted of the Scirus, PubMed, Ovid, Cochrane Library and VHL databases. A clinical trial dating from the inception of the data bases until August 2013 was selected. Studies that compared Erich arch bars with other intermaxillary fixation methods in patients older than 18 years-old were included. The studies were assessed by two independent reviewers. The methodological quality of each article was analyzed.</p>
</sec>
<sec><title>Results</title>
<p>Nine hundred and twenty-five manuscripts were found. Seven relevant articles were analyzed in this review. The risk of bias was considered moderate for four studies and high for three clinical trials.</p>
</sec>
<sec><title>Conclusions</title>
<p>There is not enough evidence to conclude that the Erich arch bar is the best intermaxillary fixation method in cases of oral and maxillofacial fractures.</p>
<p><bold>Key words:</bold>
Facial injuries, jaw fixation techniques, mandible, maxilla.</p>
</sec>
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