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Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases

Identifieur interne : 001C19 ( Pmc/Checkpoint ); précédent : 001C18; suivant : 001C20

Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases

Auteurs : Henrique Do Couto De Oliveira ; Valfrido Antonio Pereira-Filho ; Eduardo Hochuli-Vieira ; Marisa Aparecida Cabrini Gabrielli ; Mario Francisco Real Gabrielli

Source :

RBID : PMC:4379271

Abstract

The incidence of fractures of the atrophic edentulous mandible is still low, even with the increasing life expectancy. The reduced blood supply of the sclerotic bone, the diminished contact area between bone fragments and the patient’s systemic condition makes the treatment of those fractures a challenge for any professional. Treatment of atrophic mandibular fractures by means of miniplate osteosynthesis has not been the preferred method of fixation by many authors. Yet, many surgeons have applied this type of fixation for the atrophied jaw sections. This paper reports 2 cases of fractured atrophic mandibles treated with the pencilboneplate, a monocortical 2.0 mm titanium, 8 or 10-hole hardware with reinforcement on its middle portion, highlighting important considerations of its use. The pencilboneplate appears to be a valuable option for the treatment of atrophic mandibular fractures, especially by an intra-oral approach, and warrants further biomechanical and clinical studies.


Url:
DOI: 10.1007/s12663-012-0453-8
PubMed: 25838701
PubMed Central: 4379271


Affiliations:


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PMC:4379271

Le document en format XML

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<nlm:aff id="Aff2">Department of Oral and Maxillofacial Surgery, Araraquara Dental School, University of the State of São Paulo, Humaitá Street, 1680, Second Floor, Center, Araraquara, São Paulo Brazil</nlm:aff>
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<p>The incidence of fractures of the atrophic edentulous mandible is still low, even with the increasing life expectancy. The reduced blood supply of the sclerotic bone, the diminished contact area between bone fragments and the patient’s systemic condition makes the treatment of those fractures a challenge for any professional. Treatment of atrophic mandibular fractures by means of miniplate osteosynthesis has not been the preferred method of fixation by many authors. Yet, many surgeons have applied this type of fixation for the atrophied jaw sections. This paper reports 2 cases of fractured atrophic mandibles treated with the pencilboneplate, a monocortical 2.0 mm titanium, 8 or 10-hole hardware with reinforcement on its middle portion, highlighting important considerations of its use. The pencilboneplate appears to be a valuable option for the treatment of atrophic mandibular fractures, especially by an intra-oral approach, and warrants further biomechanical and clinical studies.</p>
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<journal-title>Journal of Maxillofacial & Oral Surgery</journal-title>
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<issn pub-type="ppub">0972-8279</issn>
<issn pub-type="epub">0974-942X</issn>
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<article-title>Treatment of Atrophic Mandibular Fractures with the Pencilboneplate: Report of 2 Cases</article-title>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>de Oliveira</surname>
<given-names>Henrique do Couto</given-names>
</name>
<address>
<phone>55 21 22755657</phone>
<phone>55 21 79141800</phone>
<email>hco_maxilofacial@hotmail.com</email>
<email>deoliveirahco@haco.aer.mil.br</email>
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<xref ref-type="aff" rid="Aff1"></xref>
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<surname>Pereira-Filho</surname>
<given-names>Valfrido Antonio</given-names>
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<given-names>Marisa Aparecida Cabrini</given-names>
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<surname>Gabrielli</surname>
<given-names>Mario Francisco Real</given-names>
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<label></label>
Division of Dentistry, Canoas Air Force Hospital - Brazilian Air Force, Guilherme Shell Avenue, 3950, Mato Grande, Canoas, Rio Grande do Sul Brazil</aff>
<aff id="Aff2">
<label></label>
Department of Oral and Maxillofacial Surgery, Araraquara Dental School, University of the State of São Paulo, Humaitá Street, 1680, Second Floor, Center, Araraquara, São Paulo Brazil</aff>
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<pub-date pub-type="epub">
<day>27</day>
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>3</month>
<year>2015</year>
</pub-date>
<volume>14</volume>
<issue>Suppl 1</issue>
<fpage>226</fpage>
<lpage>230</lpage>
<history>
<date date-type="received">
<day>4</day>
<month>8</month>
<year>2011</year>
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<date date-type="accepted">
<day>3</day>
<month>10</month>
<year>2012</year>
</date>
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<copyright-statement>© Association of Oral and Maxillofacial Surgeons of India 2012</copyright-statement>
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<abstract id="Abs1">
<p>The incidence of fractures of the atrophic edentulous mandible is still low, even with the increasing life expectancy. The reduced blood supply of the sclerotic bone, the diminished contact area between bone fragments and the patient’s systemic condition makes the treatment of those fractures a challenge for any professional. Treatment of atrophic mandibular fractures by means of miniplate osteosynthesis has not been the preferred method of fixation by many authors. Yet, many surgeons have applied this type of fixation for the atrophied jaw sections. This paper reports 2 cases of fractured atrophic mandibles treated with the pencilboneplate, a monocortical 2.0 mm titanium, 8 or 10-hole hardware with reinforcement on its middle portion, highlighting important considerations of its use. The pencilboneplate appears to be a valuable option for the treatment of atrophic mandibular fractures, especially by an intra-oral approach, and warrants further biomechanical and clinical studies.</p>
</abstract>
<kwd-group xml:lang="en">
<title>Keywords</title>
<kwd>Fracture</kwd>
<kwd>Mandible</kwd>
<kwd>Elderly</kwd>
<kwd>Osteosynthesis</kwd>
</kwd-group>
<custom-meta-group>
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<meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Association of Oral and Maxillofacial Surgeons of India 2015</meta-value>
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</article-meta>
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<list></list>
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<name sortKey="De Oliveira, Henrique Do Couto" sort="De Oliveira, Henrique Do Couto" uniqKey="De Oliveira H" first="Henrique Do Couto" last="De Oliveira">Henrique Do Couto De Oliveira</name>
<name sortKey="Gabrielli, Mario Francisco Real" sort="Gabrielli, Mario Francisco Real" uniqKey="Gabrielli M" first="Mario Francisco Real" last="Gabrielli">Mario Francisco Real Gabrielli</name>
<name sortKey="Gabrielli, Marisa Aparecida Cabrini" sort="Gabrielli, Marisa Aparecida Cabrini" uniqKey="Gabrielli M" first="Marisa Aparecida Cabrini" last="Gabrielli">Marisa Aparecida Cabrini Gabrielli</name>
<name sortKey="Hochuli Vieira, Eduardo" sort="Hochuli Vieira, Eduardo" uniqKey="Hochuli Vieira E" first="Eduardo" last="Hochuli-Vieira">Eduardo Hochuli-Vieira</name>
<name sortKey="Pereira Filho, Valfrido Antonio" sort="Pereira Filho, Valfrido Antonio" uniqKey="Pereira Filho V" first="Valfrido Antonio" last="Pereira-Filho">Valfrido Antonio Pereira-Filho</name>
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