Tuesday, 19 September 2023 13:42

The Use of Mini-implants for the Fixation of Bilateral Mandibular Fractures

1Enas Abdulsattar Abdulmaged, FIBMS and 2Samir Ali Albahrany, BDS.
1, 2Department of Maxillofacial Surgery Center, Al-Wasiti Teaching Hospital, Baghdad, Iraq.
Corresponding Author: Samir Ali Hussien
E. mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Received 25 December 2022.
Accepted for publication on March 18, 2023.
Published September 20, 2023.
Doi: https://doi.org/10.58827/223110ujqdip

Background Closed reduction and open reduction with internal fixation (ORIF), bars and eyelet wiring are among the common MMF techniques. However, these techniques have their limitations, such as time consumption when placing it and the patient’s uncomfortable. And arch bar technique causes movement of teeth in lateral and extrusive directions, constant traction applied to the wire can distract the fracture parts and possibly cause complications, difficulty to secure the arch bar in isolated posterior teeth, periodontal tissue injury, needle stick type of injuries to the operator, difficulty in maintaining good oral hygiene. Objectives In this case report a bilateral mandibular fracture was treated with mini-implants will be presented and discussed. Materials and Methods Thirty-two-year-old male patient attended the Department of Maxillofacial Surgery Center at Al-Wasiti Teaching Hospital, with 10 days history of a mandibular fracture due to trauma to the anterior region. Results During surgical planning, a decision was made of placing mini-implants originally designed for orthodontic anchorage systems between 13 and 14, 23 and 24, 33 and 34, 43, and 44, After intraoral incisions, these fractures were fixed with an L-shaped 4 holes 2.0 mini-plate and mono-cortical screws inserted in the tension region, followed by suturing of the incisions with silk suture size 0/3. Conclusion The mini-implant MMF technique is easy to perform does not require special expertise and is more convenient for the patient.

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