The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures
(1) Background: Mandibular fractures are very common. Common indications of closed treatment for mandibular fractures are non-displaced or minimally displaced simple fractures in adult compliant patients with good dentition, the absence of occlusal disruption, and fractures in growing children. In c...
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| Materiálatiipa: | Artihkal |
| Giella: | English |
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MDPI AG
2023-08-01
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| Ráidu: | Bioengineering |
| Fáttát: | |
| Liŋkkat: | https://www.mdpi.com/2306-5354/10/9/1023 |
| _version_ | 1827727179283169280 |
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| author | Cristina Grippaudo Antonino Lo Giudice Gianmarco Saponaro Mattia Todaro Alessandro Moro Antonio D’Addona |
| author_facet | Cristina Grippaudo Antonino Lo Giudice Gianmarco Saponaro Mattia Todaro Alessandro Moro Antonio D’Addona |
| author_sort | Cristina Grippaudo |
| collection | DOAJ |
| description | (1) Background: Mandibular fractures are very common. Common indications of closed treatment for mandibular fractures are non-displaced or minimally displaced simple fractures in adult compliant patients with good dentition, the absence of occlusal disruption, and fractures in growing children. In closed treatment, the mandible is maintained in centric occlusion with a maxillomandibular fixation (MMF) with orthodontic elastics. Many methods of MMF have been described, often using orthodontic appliances. In recent years, CAD-CAM technology has improved many procedures used in maxillofacial surgery and orthodontics. The device we present is manufactured following a digital workflow, and was designed specifically for MMF. (2) Materials: Two patients with mandibular fractures were treated with an MMF method whose procedure comprised scanning of the dental arches, followed by construction of thermoformed splints on which buttons for the elastics and retention holes are made. The splints were fixed on the dental arches with composite resin at the level of the holes, and were kept in place for the period of healing of the fracture, with the intermaxillary elastics hooked to the buttons. (3) Results: The application time of the splints was very quick. The splints remained stable for the necessary time, without causing particular discomfort to the patients. (4) Conclusions: From our experience, this technique has proved to be reliable and reproducible and could represent a valid tool in the closed treatment of mandibular fractures. |
| first_indexed | 2024-03-10T23:01:50Z |
| format | Article |
| id | doaj.art-ca363365e2d64a54903b43b4b8ea3228 |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-10T23:01:50Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-ca363365e2d64a54903b43b4b8ea32282023-11-19T09:36:36ZengMDPI AGBioengineering2306-53542023-08-01109102310.3390/bioengineering10091023The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar FracturesCristina Grippaudo0Antonino Lo Giudice1Gianmarco Saponaro2Mattia Todaro3Alessandro Moro4Antonio D’Addona5Dipartimento di Neuroscienze, Organi di Senso e Torace, UOC di Chirurgia Odontostomatologica e Implantologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, ItalyDepartment of General Surgery and Surgical-Medical Specialties, Section of Orthodontics, School of Dentistry, University of Catania, 95123 Catania, ItalyOdontoiatria e Protesi Dentaria, Dipartimento Universitario Testa Collo ed Organi di Senso, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyOdontoiatria e Protesi Dentaria, Dipartimento Universitario Testa Collo ed Organi di Senso, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyOdontoiatria e Protesi Dentaria, Dipartimento Universitario Testa Collo ed Organi di Senso, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDipartimento di Neuroscienze, Organi di Senso e Torace, UOC di Chirurgia Odontostomatologica e Implantologia, Fondazione Policlinico Universitario A. Gemelli, IRCCS, 00168 Rome, Italy(1) Background: Mandibular fractures are very common. Common indications of closed treatment for mandibular fractures are non-displaced or minimally displaced simple fractures in adult compliant patients with good dentition, the absence of occlusal disruption, and fractures in growing children. In closed treatment, the mandible is maintained in centric occlusion with a maxillomandibular fixation (MMF) with orthodontic elastics. Many methods of MMF have been described, often using orthodontic appliances. In recent years, CAD-CAM technology has improved many procedures used in maxillofacial surgery and orthodontics. The device we present is manufactured following a digital workflow, and was designed specifically for MMF. (2) Materials: Two patients with mandibular fractures were treated with an MMF method whose procedure comprised scanning of the dental arches, followed by construction of thermoformed splints on which buttons for the elastics and retention holes are made. The splints were fixed on the dental arches with composite resin at the level of the holes, and were kept in place for the period of healing of the fracture, with the intermaxillary elastics hooked to the buttons. (3) Results: The application time of the splints was very quick. The splints remained stable for the necessary time, without causing particular discomfort to the patients. (4) Conclusions: From our experience, this technique has proved to be reliable and reproducible and could represent a valid tool in the closed treatment of mandibular fractures.https://www.mdpi.com/2306-5354/10/9/1023CAD/CAMcondylar fracturesIMFmandibular fracturesmaxillomandibular fixationsplints |
| spellingShingle | Cristina Grippaudo Antonino Lo Giudice Gianmarco Saponaro Mattia Todaro Alessandro Moro Antonio D’Addona The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures Bioengineering CAD/CAM condylar fractures IMF mandibular fractures maxillomandibular fixation splints |
| title | The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures |
| title_full | The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures |
| title_fullStr | The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures |
| title_full_unstemmed | The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures |
| title_short | The Use of a CAD/CAM Thermoformed Splints System in Closed Reduction of Condylar Fractures |
| title_sort | use of a cad cam thermoformed splints system in closed reduction of condylar fractures |
| topic | CAD/CAM condylar fractures IMF mandibular fractures maxillomandibular fixation splints |
| url | https://www.mdpi.com/2306-5354/10/9/1023 |
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