alexa Results of treatment of fractures of the atrophic edentulous mandible by compression plating: a retrospective evaluation of 84 consecutive cases.
General Science

General Science

Journal of Biotechnology & Biomaterials

Author(s): Luhr HG, Reidick T, Merten HA

Abstract Share this page

PURPOSE: This article introduces a simple and reproducible classification of the degree of atrophy in fractures of the atrophic edentulous mandible, and evaluates the results of treatment in 84 consecutive fractures based on this classification.

MATERIAL AND METHODS: Eight-four fractures of the edentulous mandible, with a height at the fracture site of < or = 20 mm, were included. Using the ratio of actual plate width to plate width on the postoperative radiograph, the actual height of the mandible at the fracture site was calculated. Twenty-five fractures (30%) were in the Class I atrophy group (height at the fracture site 16 to 20 mm), 33 fractures (39%) occurred in Class II atrophic mandibles (height 11 to 15 mm), and 26 fractures (31%) were seen in extremely atrophic Class III mandibles (height < or = 10 mm). The treatment was performed by compression plating without any postoperative MMF. Primary bone grafting was used in six cases (7%) because a partial bone defect was present at the fracture site.

RESULTS: In 81 (96.5%) of the 84 fractures an uncomplicated, solid, bony union was achieved. Three major complications occurred: one osteomyelitis and two nonunions. The two nonunions occurred in bilateral fracture of an extremely atrophied mandible (Class III atrophy). Minor soft tissue infections, without interference with fracture healing, were observed in six cases (7%).

CONCLUSIONS: Because there is an obvious relation between the height of the mandible and the incidence of complications in fracture healing, a special classification of the degree of atrophy is needed. In fractures of the extremely atrophic mandible (Class III atrophy) periosteal degloving should be avoided and supraperiosteal placement of plates is recommended. Compression osteosynthesis has proved to be a successful method, with minimal impairment of the patient and a low frequency of serious complications.

  • To read the full article Visit
  • Open Access
This article was published in J Oral Maxillofac Surg. and referenced in Journal of Biotechnology & Biomaterials

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords