Evaluating the Effect of Resin-Reinforced Fiber Splint Application on the Stabilization of Mandibular Corpus Fractures: An in Vitro Study

Year 2024, Volume: 34 Issue: 2, 116 - 121, 15.04.2024

Mehmet Zahit Baş Ertan Yalçin

https://doi.org/10.5281/zenodo.11058935

Abstract

Objective: This study aimed to evaluate the efficiency of a resin-supported fiber splint in the dental area as a fixation method in order to avoid the disadvantages of using a second plate in mandible corpus fractures
Methods: 24 cadaveric sheep hemimandibulae were randomly divided into four groups. The biomechanical stability of four different groups in which four different fixation methods were applied was evaluated. A single miniplate was used in Group A, and a double miniplate was used in Group B. In Group C, an arch bar was applied along the dental arch with a single mini-plate. In Group D, a single mini-plate was supported by fiber splinting along the dental arch.
Results: The average force values were found at the highest level in the single-plate arch bar group and the lowest in the single-plate group. Looking at the data shown, the single plate arch bar group showed the highest stability, and the single- plate group showed the lowest stability. The mean displacement values were highest in the single-plate arch bar group and lowest in the single-plate group. The aforementioned data coincides with the maximum force values.
Conclusion: It has been noted that the fiber splint application, which was used to avoid the disadvantages of the arch bar application, contributed positively to the stability of fracture fixation.
Keywords: Fracture, Mandible, Fiber Splint
Mandibular Korpus Kırıklarında Rezinle Güçlendirilmiş Fiber Splint Uygulamasının Stabilizasyon Üzerine Etkisinin Araştırılması: İn Vitro Çalışma
ÖZ
Amaç: Bu çalışmanın amacı, mandibula korpus kırıklarında ikinci bir plak kullanımının dezavantajlarından kaçınmak için, bir fiksasyon yöntemi olarak dental bölgede uygulanan rezin destekli fiber splintin etkinliğini değerlendirmektir.
Yöntemler: 24 kadavra koyun hemimandibulası rastgele 4 gruba ayrıldı. 4 farklı fiksasyon yönteminin uygulandığı 4 farklı grubun biyomekanik stabiliteleri değerlendirildi. Grup A'da tek miniplak, Grup B'de çift mini-plak kullanıldı. Grup C'de tek mini-plak ile dental ark boyunca ark bar uygulanmıştır. D grubunda ise tek bir mini-plak dental ark boyunca fiber splint uygulaması ile desteklenmiştir.
Bulgular: Ortalama kuvvet değerleri tek plakalı arch bar grubunda en yüksek, tek plak grupta ise en düşük seviyede bulunmuştur. Gösterilen verilere bakıldığında, tek plakalı arch bar grubu en yüksek stabiliteyi, tek plaklı grup ise en düşük stabiliteyi göstermiştir. Ortalama yer değiştirme değerleri tek plak arch bar grubunda en yüksek, tek plak grupta ise en düşüktür. Söz konusu veriler maksimum kuvvet değerleri ile örtüşmektedir.
Sonuç: Ark bar uygulamasının dezavantajlarından kaçınmak için kullanılan fiber splint uygulamasının kırık fiksasyonunun stabilitesine olumlu katkı sağladığı kaydedilmiştir..
Anahtar Kelimeler : Fraktür, Mandibula, Fiber Splint

Keywords

Fracture, Mandible, Fiber Splint

References

• 1. Adeyemo WL, Iwegbu IO, Bello SA, Okoturo E, Olaitan AA, Ladeinde AL, et al. Management of mandibular fractures in a developing country: a review of 314 cases from two urban centers in Nigeria. World J Surg. 2008; 32:2631-2635.
• 2. Olate S, de Assis AF, Pozzer L, Cavalieri-Pereira L, Asprino L, de Moraes M. Pattern and treatment of mandible body fracture. Int J Burn Trauma. 2013;3(3):164-168.
• 3. Patrocínio LG, Patrocínio JA, Borba BHC, Bonatti BDS, Pinto LF, Vieira JV, et al. Mandibular fracture: analysis of 293 patients treated in the Hospital of Clinics, Federal University of Uberlândia. Revista Brasileira de Otorrinolaringologia. 2005;71:560-565.
• 4. Champy M, Lodde Jp, Jaeger Jh, Wılk A. Osteosyntheses mandıbulaıres selon la technıque de Mıchelet. Bases Bıomecanıques. 1976;7:509-512
• 5. Polizzi A, Ronsivalle V, Lo Giudice A, Isola G, Bianchi A, Santonocito, et al. Orthodontic Approaches in the Management of Mandibular Fractures: A Scoping Review. Children 2023;10(3):605.
• 6. Ergun S, Ofluoğlu D, Saruhanoğlu A, Karatasli B, Deniz E, Özel S, et al. Comparative evaluation of various miniplate systems for the repair of mandibular corpus fractures. Dent Material J. 2014; 33(3): 368-372.
• 7. Goodday, Reginald HB. Management of fractures of the mandibular body and symphysis. Oral Maxillofac Surg Clin. 2013; 25(4): 601-616.
• 8. de Medeiros RC, Sigua EA, Navarro P, Olate S, BarbosaJRA. In vitro mechanical analysis of different techniques of internal fixation of combined mandibular angle and body fractures. J Oral Maxillofac Surg. 2016;74(4):778-785.
• 9. Haug RH, Prather J, Indresano AT. An epidemiologic survey of facial fractures and concomitant injuries. J Oral Maxillofac Surg. 1990; 48(9): 926-932.
• 10. Ribeiro M, Lauria A, Sato FRL, Moreira RWF. Biomechanical analysis on different fixation techniques for treatment of mandibular body fractures. Brazil J Oral Sci. 2013;12: 80-83.
• 11. Bredbenner TL, Haug RH. Substitutes for human cadaveric bone in maxillofacial rigid fixation research. Oral SurgOral Med Oral Pathol Oral Radiol Endodontol. 2000; 90(5): 574-580.
• 12. Gealh WC, Costa JV, Ferreira GM, Iwaki Filho L. Comparative study of the mechanical resistance of 2 separate plates and 2 overlaid plates used in the fixation of the mandibular condyle: an in vitro study. J Oral Maxillofac Surg. 2009;67(4):738-743.
• 13. Asprino L, Consani S, de Moraes MA. Comparative biomechanical evaluation of mandibular condyle fracture plating techniques. J Oral Maxillofac Surg. 2006;64(3):452-456.
• 14. Dayi E, Omezli MM. Review of biomechanical experimental studies on different plating techniques of mandibular condyle fractures. Ann Maxillofac Surg. 2011;1(1):48.
• 15. Bayram B, Araz K, Uckan S, Balcik C. Comparison of Fixation Stability of Resorbable Versus Titanium Plate and Screws in Mandibular Angle Fractures. J Oral Maxillofac Surg. 2009; 67:1644–1648.
• 16. Esen A, Ataoǧlu H, Gemi L. Comparison of stability of titanium and absorbable plate and screw fixation for mandibular angle fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2008;106:806–811.
• 17. Duncan WJ. Sheep mandibular animal models for dental implantology research (Doctoral dissertation, University of Otago). http://hdl.handle.net/10523/8328. 2005.
• 18. Gorup JM, Merola AA, Bono CM, Zipnick RI, Morganstern W, Shin TM, et al. Technique for the harvesting of human cadaveric spines. Spine. 1998; 23(20): 2222-2225. 19. Cavanaugh JM, King AI. Control of transmission of HIV and other bloodborne pathogens in biomechanical cadaveric testing. J Orthopaed Res. 1990;8:159–166.
• 20. Tate GS, Ellis III E, Throckmorton G. Bite forces in patients treated for mandibular angle fractures: implications for fixation recommendations. J Oral Maxillofac Surg. 1994;52(7): 734-736.
• 21. Kumar S, Saraf ST, Devi SP. Evaluation of bite force after open reduction and internal fixation using microplates. J Dent (Tehran, Iran). 2013;10(5): 466.
• 22. Kshirsagar R, Jaggi N, Halli R. Bite force measurement in mandibular parasymphyseal fractures: a preliminary clinical study. Craniomaxillofacial Trauma & Reconstruction. 2011;4(4):241-244.
• 23. Ellis III E, Throckmorton G. S. Bite forces after open or closed treatment of mandibular condylar process fractures. J Oral Maxillofac Surg. 2001;59(4):389-395.
• 24. Alpert B. Management of the complications of mandibular fracture treatment. Operative Techniques in Plastic and Reconstructive Surgery 1998;4(5):325-333.
• 25. Marsell R, Einhorn TA. The biology of fracture healing. Injury. 2011;42(6):551-555.
• 26. Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D. Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Oral Maxillofac Surg. 1978;6:14-21.
• 27. Arbag H, Korkmaz HH, Ozturk K, Uyar Y. Comparative evaluation of different miniplates for internal fixation of mandible fractures using finite element analysis. J Oral Maxillofac Surg. 2008;66(6):1225-1232.
• 28. Brons RBG. Fractures of the mandibular body treated by stable internal fixation: a preliminary report. J Oral Surg. 1970;28:407–415.
• 29. Ellis III E. A study of 2 bone plating methods for fractures of the mandibular symphysis/body. J Oral Maxillofac Surg. 2011;69(7): 1978-1987.
• 30. Sorel B. Open versus closed reduction of mandible fractures. Oral Maxillofac Surg Clin North Am. 1998;10(4):541-565.
• 31. Iatrou I, Samaras C, Theologie-Lygidakis N. Miniplate osteosynthesis for fractures of the edentulous mandible: A clinical study 1989–96. J Cranio-Maxillofac Surg. 1998; 26:400–404.
• 32. Dodson TB, Perrott DH, Kaban LB, Gordon NC. Fixation of mandibular fractures: a comparative analysis of rigid internal fixation and standard fixation techniques. J Oral Maxillofac Surg. 1990;48(4):362-366.
• 33. Smith AJ, Cameron SO, Bagg J, Kennedy D. Management of needlestick injuries in general dental practice. British Dental Journal 2001;90(12):645-650.
• 34. Gooch BF, Siew C, Cleveland JL, Gruninger SE, Lockwood SA, Joy ED. Occupational blood exposure and HIV infection among oral and maxillofacial surgeons. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 1998;85(2):128-134.
• 35. Baurmash H, Farr D, Baurmash M. Direct bonding of arch bars in the management of maxillomandibular injuries. J Oral Maxillofac Surg. 1998;46(9):813-815.
• 36. Chandan S, Ramanojam S. Comparative evaluation of the resin bonded arch bar versus conventional Erich arch bar for intermaxillary fixation. J Oral Maxillofac Surg. 2010;9:231-235.
• 37. Jamal S, Motiwala M, Ghafoor R. Conventional and contemporary approaches of splinting traumatized teeth: A review article. JPMA. J Pakistan Med Assoc. 2020;70(2): S53-S59.
• 38. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra‐alveolar root fractures. Effect of pre‐injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol. 2004;20(4):192-202.
• 39. Rudderman RH, Mullen RL, Phillips JH. The biophysics of mandibular fractures: an evolution toward understanding. Plastic Reconstruct Surg. 2008;121(2):596-607.
• 40. de Medeiros, RC, de Moura, AL, Rodrigues DC, Mendes MBM, Sawazaki R, Moreira RWF. Fractographic analysis of 2.0-mm plates with a screw locking system in simulated fractures of the mandibular body. J Oral Maxillofac Surg. 2014;72(6):1130-1137.