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We report a simple, effective method of managing displaced unilateral condylar fractures with occlusal disruption using vacuum-formed thermoplastic foil splints with bonded wire cleats. The cleats enable intermaxillary fixation in the form of orthodontic elastics to be used, which guide then maintain the occlusion in centric relation. A case is presented in which this technique was used successfully.
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http://dx.doi.org/10.1054/bjom.2001.0649 | DOI Listing |
Ann Maxillofac Surg
May 2025
Department of Orthodontics, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India.
Rationale And Patient Concerns: A 19-year-old male patient presented with a dentoalveolar Class III malocclusion on a Class III skeletal base with facial asymmetry, increased facial proportions, complicated by anterior open bite of 6.2 mm, unilateral posterior crossbite with Index of Orthognathic Functional Treatment Need score of 5.4.
View Article and Find Full Text PDFJ Craniofac Surg
August 2025
State Key Laboratory of Oral and Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School and Hospital of Stomatology, Wuhan University, Wuhan, China.
Palatal fractures are rare and difficult to treat, lacking a standard method. We used CT DICOM data for 3D reconstruction, virtual fracture reduction, and designed a 3D-printed occlusal splint. During surgery, the splint was placed on maxillary teeth to aid fracture reduction and fixation.
View Article and Find Full Text PDFJ Craniofac Surg
August 2025
Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Gazi University, Ankara, Turkey.
Facial fractures are a significant aspect of pediatric trauma cases. The impact of intermaxillary fixation (IMF) using screws on dental development, particularly in pediatric patients undergoing primary and mixed dentition, remains a subject of concern. This study aims to evaluate the long-term effects of IMF screws on tooth bud development in pediatric patients.
View Article and Find Full Text PDFBr J Oral Maxillofac Surg
June 2025
Dental Research Institute, School of Dentistry, Pusan National University, Yangsan 50621, Republic of Korea; Dental and Life Science Institute, School of Dentistry, Pusan National University, Yangsan 50621, Republic of Korea. Electronic address:
This study aimed to evaluate the effectiveness of early active mandibular exercise (AME) to address mouth-opening limitation following orthognathic surgery in patients with skeletal Class III malocclusion. This was a single-centre, randomised, controlled, and double-blinded experimental study. In 44 subjects, the experimental group (n = 21) performed AME 10 times daily and were asked to self-assess the degree of opening by counting the number of tongue depressors they could fit in, whereas the control group (n = 23) performed only basic finger exercises.
View Article and Find Full Text PDFJ Craniomaxillofac Surg
July 2025
Maxillofacial Surgery Unit, Department of Medical Biotechnology, Azienda Ospedaliero-Universitaria Senese, 53100, Siena, 53100, Siena, Italy.
Traumatic mandibular condylar fractures are the most common mandibular fractures in maxillofacial surgery. Approximately 42 % of facial skeletal fractures involve the mandible, and of these, 34 % involve the mandibular condyle. Normally, due to its anatomical structure, the mandibular condyle fractures upon impact and dislocates anteriorly and/or medially.
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