Clinical Outcomes of ULTRA EZY Bar vs Erich Arch Bar in Conservative Management of Maxillofacial Fractures: A Randomized Controlled Trial.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Maxillofacial & Oral Surgery Pub Date : 2024-02-01 Epub Date: 2022-12-16 DOI:10.1007/s12663-022-01821-3

Shivangini Kapoor, Ashish Gupta, Pankaj Bansal, Sneha D Sharma, Himani Gupta, Rachit Srivastava

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Abstract

Objective: Various techniques have been employed from time to time to achieve maxillomandibular fixation, and arch bars provide an effective and versatile means of maxillomandibular fixation, and however, some of the issues occurring with it have been eliminated with the introduction of Ultralock EZY bar. The aim of the present study is to compare the advantages and disadvantages of Ultralock Ezy bar over the Erich arch bar in mid-face fracture or maxillary fracture or mandibular fracture or both requiring conservative treatment.

Materials and methods: A total of 20 patients reported to the Department of Oral and Maxillofacial Surgery in Sudha Rustagi Dental College and Hospital, Faridabad, with mid-face fracture/maxillary fracture, mandibular fracture or both. The treatment plan required intermaxillary fixation. As a part of treatment plan, group was selected randomly divided into 20 arches in each group that is test arch group and control arch group.Test arch group included arches in which Ultralock EZY bar was done. Control arch group included arches in which Erich arch bar was done. The parameters compared in both the groups were surgical time taken, injuries due to wires, arch bar stability, oral hygiene index, patient acceptance and comfort, pulp vitality, and complication (if any).

Results: The average surgical time taken was less, and oral hygiene status and patient acceptance were better in test group. There was not much statistically significant difference in pulp vitality but number of cases with absence of pulp vitality were more in test group.

Conclusion: This study emphasizes the use of Ultralock Ezy bar as a quick and easy method than Erich arch bar. Oral hygiene maintenance was comparatively better in patients with Ultralock Ezy bar than those with Erich arch bar. For the patients who require long-term IMF, Ultralock Ezy bars can be a viable option.

Supplementary information: The online version contains supplementary material available at 10.1007/s12663-022-01821-3.

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ULTRA EZY Bar与Erich Arch Bar保守治疗颌面部骨折的临床疗效：一项随机对照试验

目的：上下颌骨固定一直以来都采用多种技术，而弓形固定杆为上下颌骨固定提供了一种有效且多用途的手段，然而，随着 Ultralock EZY 杆的推出，它所出现的一些问题已被消除。本研究旨在比较 Ultralock Ezy 杠与 Erich 弓杠在需要保守治疗的面中部骨折、上颌骨骨折或下颌骨骨折或两者的优缺点：法里达巴德 Sudha Rustagi 牙科学院和医院口腔颌面外科共接诊了 20 名患者，他们均患有面中部骨折/上颌骨骨折、下颌骨骨折或同时患有这两种骨折。治疗方案要求进行颌骨间固定。作为治疗计划的一部分，每组随机分为 20 个牙弓，即试验牙弓组和对照牙弓组。测试组包括使用 Ultralock EZY 工具的牙弓，对照组包括使用 Erich 工具的牙弓。两组比较的参数包括手术时间、钢丝损伤、弓杆稳定性、口腔卫生指数、患者接受度和舒适度、牙髓活力和并发症（如有）：试验组的平均手术时间较短，口腔卫生状况和患者接受度较好。牙髓活力在统计学上没有太大差异，但试验组牙髓活力缺失的病例数较多：本研究强调，使用 Ultralock Ezy 工具比使用 Erich 弓形工具更快捷方便。使用 Ultralock Ezy 套筒的患者的口腔卫生保持情况比使用 Erich 牙弓套筒的患者要好。对于需要长期IMF的患者来说，Ultralock Ezy杆是一种可行的选择：在线版本包含补充材料，可在 10.1007/s12663-022-01821-3。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.