Abstract
Objective
The study was done to compare the clinical efficacy of vacuum formed splints and arch bar in treating minimally displaced mandibular fractures.
Method
Forty patients were included in two groups. Group 1 was treated with custom made splints and group 2 with conventional arch bar. Patients were recalled on 3rd, 7th, 14th day and on the day of removal of the appliance. Periodontal status, stability of appliance and chair side time were evaluated.
Results
The mean chair side time taken by vacuum formed splint was 18.05 min and conventional arch bar fixation was 68.25 min. 8.3 % of patients with vacuum formed splints had poor oral hygiene in comparison with 25 % of patients with conventional arch bar. 70 % of patients with vacuum formed splints and 60 % of the patients with conventional arch bars were comfortable in mastication during treatment.
Conclusion
Vacuum formed splints has better advantages over arch bar with respect to chair side time, periodontal health, patient’s compliance of maintaining oral hygiene, mastication and speech. Vacuum formed splints avoid needle stick injuries. So, they can be used for intermaxillary fixation in minimally displaced mandibular fractures.
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References
Mukerji R et al (2006) Mandibular fractures: historical perspective. Br J Oral Maxillofac Surg 44:222–228
Lloyd T, Nightingale C, Edler R (2001) The use of vacuum formed splints for temporary intermaxillary fixation in the management of unilateral condylar fractures. Br J Oral Maxillofac Surg 39:301–303
Gibbons AJ, Hodder SC (2003) A self-drilling intermaxillary fixation screw. Br J Oral and Maxillofac Surg 41:48–49
Ayub AF, Rowson J (2003) Comparative assessment of two methods used for interdental immobilization. J Craniomaxillofac Surg 31:159–161
Eid K, Lynch DJ, Whitaker LA (1976) Mandibular fractures: the problem patient. J Trauma 08:658–661
Terai H, Shimahara M (2004) Closed treatment of condylar fractures by intermaxillary fixation with thermoforming plates. Br J Oral Maxillofac Surg 42:61–63
Yamada T, Sumi Y, Okazaki Y, Udeda M (1998) A new intermaxillary fixation method using adhesive cast splints for avoiding skin puncture. Aust Dent J 43:167–169
Avery CME, Taylor J, Johnson PA (1999) Double gloving and a system for identifying glove perforations in maxillofacial trauma surgery. Br J Oral Maxillofac Surg 37:316–319
Avery CME, Johnson PA (1992) Surgical glove perforation and maxillofacial trauma: to plate or wire? Br J Oral Maxillofac Surg 30:31–35
Smith A (1993) The use of orthodontic chain elastic for temporary intermaxillary fixation. Br J Oral Maxillofac Surg 31:250–251
Oikarinen KS, Nieminen TM (1994) Influence of arch bar splinting on periodontium and mobility of fixed teeth. Acta Odontol Scand 52:203–208
Lello JL, Lello GE (1988) The effect of interdental continuous loop wire splinting and intermaxillary fixation on the marginal gingiva. Int J Oral Maxillofac Surg 17:249–252
David NB, Ngassapa DN, Jaap CM, Hans PM (1986) The reaction of the periodontium to different types of splints. Int J Oral Maxillofac Surg 15:240–249
Fordyce AM et al (1999) Intermaxillary fixation is not usually necessary to reduce mandibular fractures. Br J Oral Maxillofac Surg 37:52–57
Aldegheri A, Blanc JL (1999) The pearl steel wire: a simplified appliance for maxillomandibular fixation. Br J Oral Maxillofac Surg 37:117–118
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Trupthi, D.V., Chowdhury, S., Shah, A. et al. Treatment of Mandibular Fractures Using Intermaxillary Fixation and Vacuum Forming Splints: A Comparative Study. J. Maxillofac. Oral Surg. 13, 519–524 (2014). https://doi.org/10.1007/s12663-013-0573-9
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DOI: https://doi.org/10.1007/s12663-013-0573-9