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Revista Española de Cirugía Oral y Maxilofacial
versão On-line ISSN 2173-9161versão impressa ISSN 1130-0558
Resumo
VARGAS, Ilich et al. Stabilization and fixation of dentoalveolar fractures asociated with facial fractures across transmucosal osteosynthesis. A propos of two cases. Rev Esp Cirug Oral y Maxilofac [online]. 2020, vol.42, n.3, pp.127-131. Epub 13-Out-2020. ISSN 2173-9161. https://dx.doi.org/10.20986/recom.2020.1045/2019.
Objectives:
To assess the stability of transmucosal osteosynthesis in cases of comminuted dentoalveolar fractures, avoiding the deperiostization of fragments to maintain their vascularization, favoring the regeneration and prognosis of dental pieces and bone segments.
Materials and methods:
Transmucosal osteosynthesis with low-profile plates (0.5 and 0.7 mm of Puy Synthes - Matrix Midface Kit) was performed to reduce fractures of alveolar processes in 3 locations of 2 patients, who in association had complex facial fractures treated with open reduction and conventional internal fixation. Furthermore, splints with 0.5 mm steel wires were installed on the teeth involved.
Results:
A correct reduction, correction, and fixation of the fragments and the preservation of teeth involved in the 3 locations, observable both clinically and in CT scans at 3 and 7 months was achieved. Besides, the osteosynthesis plates were removed on an outpatient basis and by local anesthesia.
Conclusions:
Stabilization and fixation with transmucosal plates favors the consolidation of the affected segments without affecting the vascular supply. However, this method can be considered an open reduction assistance measure with internal fixation, which remains the first-choice measure.
Palavras-chave : Transmucosal plates; Transmucosal osteosynthesis; Comminuted fractures; Dentoalveolar fractures; Maxillofacial trauma.