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Open reduction and internal fixation: Screw injury - Retrospective study.
- Source :
-
Indian journal of dental research : official publication of Indian Society for Dental Research [Indian J Dent Res] 2017 May-Jun; Vol. 28 (3), pp. 304-308. - Publication Year :
- 2017
-
Abstract
- Background/aims: Open reduction and internal fixation (ORIF) is a standard surgical procedure in jaw trauma and in orthognathic surgery. Insertion of screws is a significant risk for accidental tooth root injury with varying outcomes. Contrary evidences are found in literature due to a variety of study designs. This study was undertaken to address the lacunae and possibly estimate the difference in occurrence of tooth damage during or after ORIF between trauma and planned osteotomies.<br />Materials and Methods: In this retrospective study, the data of ORIF in either trauma or orthognathic surgery fulfilling inclusion and exclusion criteria were collected and analyzed.<br />Results: There were 1632 patients fulfilling the inclusion and exclusion criteria and formed the study group, of which 663 were in orthognathic surgery, of whom 210 had bimaxillary orthognathic surgery. In the trauma group, 358 patients had fractures involving both jaws whereas 272 had maxilla alone and 339 had mandibular fractures alone. On comparing the outcome, of the 9073 screws studied, 93.40% were not involved in any contact with the teeth, 6.3% were in category of potential hits (near apices or the root surfaces), and only 0.28% had evidence of root damage with the screws. It is observed that molar and premolar had a significant difference in terms of the type of surgery (P ≤ 0.05) whereas canine (P = 0.75) and incisor (P = 0.67) showed no statistical difference.<br />Conclusion: ORIF when used as mentioned is a safe way for the management of fractures. The incidence of root injury is not uncommon but can be avoided with careful planning and execution.
- Subjects :
- Adolescent
Adult
Aged
Child
Female
Fracture Fixation, Internal adverse effects
Fracture Fixation, Internal instrumentation
Humans
Jaw Fractures diagnostic imaging
Male
Mandibular Fractures surgery
Maxillary Fractures surgery
Middle Aged
Open Fracture Reduction adverse effects
Open Fracture Reduction instrumentation
Orthognathic Surgical Procedures adverse effects
Orthognathic Surgical Procedures instrumentation
Radiography, Panoramic
Retrospective Studies
Tooth Injuries diagnostic imaging
Young Adult
Bone Screws adverse effects
Fracture Fixation, Internal methods
Jaw Fractures surgery
Open Fracture Reduction methods
Orthognathic Surgical Procedures methods
Tooth Injuries etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1998-3603
- Volume :
- 28
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Indian journal of dental research : official publication of Indian Society for Dental Research
- Publication Type :
- Academic Journal
- Accession number :
- 28721996
- Full Text :
- https://doi.org/10.4103/ijdr.IJDR_272_17