MANAGEMENT OF TOOTH EXTRUSION AS A COMPLICATION DUE TO INTERMAXILLARY FIXATION: TWO CASE REPORTS

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ABSTRACT

One of the most common and trusted methods for mandibular fracture management is the intermaxillary fixation (IMF) with Erich arch bar with the application of circumdental wiring. Twisting a wire around a tooth conveys little feel as to its tightness and it can lead to tooth extrusion or avulsion. Anterior teeth affected more frequently because of having single root and no occlusal contact with opposite teeth. The aim of this report to present two patients with a rarely seen complication of anterior tooth extrusion caused by loosening of circumdental wires of Erich arch bar during the IMF and its treatment with orthodontic button and elastics

Keywords: complication, intraoperative, jaw fixation technics; maxillomandibular fixation; orthodontic extrusion

İNTERMAKSİLLER FiKSASYONA BAĞLI BİR KOMPLİKASYON OLAN DİŞ EKSTRÜZYONUN TEDAVİSİ: İKİ VAKA RAPORU

Mandibula kırıklarının tedavisi için en yaygın ve güvenilir metotlardan biri sirkumdental telleme ile yapılan Erich ark barlar kullanılan intermaksiller fiksasyon(IMF) işlemidir. Dişin çevresinde teli sıkı şekilde sarmak hassas bir his gerektirir ve dişte ekstrüzyona ve avülsiyona neden olabilir. Anterior dişler, tek köklü olmaları ve karşıt diş ile okluzal kontağa sahip olmamaları sebebiyle daha sık etkilenirler. Bu raporun amacı; iki hastada IMF sırasında sirkumdental tellerin gevşemesi sebebiyle oluşan nadir olarak görülen bir komplikasyon olan anterior diş ekstrüzyonunun ortodontik buton ve elastikler ile tedavisini sunmaktır.     

Anahtar Kelimeler: Komplikasyon, intraoperatif, çene sabitleme teknikleri, alt-üst çene sabitlemesi, ortodontik çekiş

Anahtar Kelimeler

• complication,intraoperative

Kaynakça

1. 1. Schmidt BL, Kearns G, Gordon N, Kaban LB. A financial analysis of maxillomandibular fixation versus rigid internal fixation for treatment of mandibular fractures. J Oral Maxillofac Surg. 2000;58:1206-1210-1. doi:10.1053/joms. 2000. 16612.
2. 2. Chacon G LP. No Title. In: M M, ed. Peterson’s Prıncıples Of Oral And Maxıllofacıal Surgery. Second Edi. London: BC Decker Inc.; 2004:401-33.
3. 3. Kirk D, Whitney J, Shafer D, Song L. Tight Placement of Erich Arch Bar While Avoiding Wire Fatigue Failure. J Oral Maxillofac Surg. 2016;74:562-8.
4. 4. Nandini GD, Balakrishna R, Rao J. Self Tapping Screws v/s Erich Arch Bar for Inter Maxillary Fixation: A Comparative Clinical Study in the Treatment of Mandibular Fractures. J Maxillofac Oral Surg. 2011;10:127-31. doi:10.1007/s12663-011-0191-3.
5. 5. Falci SG, Douglas-de-Oliveira DW, Stella PE, Santos CR. Is the Erich arch bar the best intermaxillary fixation method in maxillofacial fractures? A systematic review. Med Oral Patol Oral Cir Bucal. 2015;20(4):e494-9. doi:10.4317/medoral.20448.
6. 6. Lee JY, Divaris K. Hidden consequences of dental trauma: the social and psychological effects. Pediatr Dent. 2009;31:96-101.
7. 7. Rai A, Datarkar A, Borle RM. Are maxillomandibular fixation screws a better option than erich arch bars in achieving maxillomandibular fixation? A randomized clinical study. J Oral Maxillofac Surg. 2011;69:3015-8. doi:10.1016/j.joms.2010.12.015.
8. 8. Busch RF, Prunes F. Intermaxillary fixation with intraoral cortical bone screws. Laryngoscope. 1991;101:1336-8.

9. 9. Ng J, Major PW, Heo G, Flores-Mir C. True incisor intrusion attained during orthodontic treatment: A systematic review and meta-analysis. Am J Orthod Dentofac Orthop. 2005;128:212-9. doi:10.1016 /j.ajodo.2004.04.025.
10. 10. Proffit WR. The Biologic Basis of Orthodontic Therapy. In: Proffit WR, FIelds w H, Sarver david m, eds. Contemporary Orthodontics. fourth. Mosby, Inc.; 2007:330-58.
11. 11. Park YC, Lee SY, Kim DH, Jee SH. Intrusion of posterior teeth using mini-screw implants. Am J Orthod Dentofac Orthop. 2003;123:690-4. doi:10. 1016/S0889-5406(03)00047-7.
12. 12. Gianelly AA, Goldman HM. Biologic Basis of Orthodontics. Lea & Febiger; 1971.
13. 13. Burstone CR. Deep overbite correction by intrusion. Am J Orthod. 1977;72:1-22.
14. 14. Nanda R, Marzban R, Kuhlberg A. The Connecticut intrusion arch. J Clin Orthod JCO. 1998;32:708.
15. 15. Raj A, Acharya SS, Mohanty P, et al. Comparison of Intrusive Effects of Mini screws and Burstone Intrusive Arch: A Radiographic Study. Adv Hum Biol. 2015;5:49-55.