Comparison of Periodontium Reaction to Fixation of Mandibular Fractures with and Without Erich Arch Bars

IF 0.2 Q4 EMERGENCY MEDICINE Trauma monthly Pub Date : 2019-09-01 DOI:10.5812/TRAUMAMON.87872
Erich Arch Bars, M. Ghavimi, Milad Ghanizadeh, M. Alipour
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Abstract

Background: There are two general types of fixation methods used in mandibular fractures and osteotomy: closed fixation method with Erich arch bars and the open fixation method (without Erich arch bars). Periodontium inflammation, following mandibular fixation methods, is a complication of the healing period.Objectives: The current study aimed at evaluating and comparing periodontium reaction to fixation of mandibular fractures with and without Erich arch bars.Methods: This cross-sectional study was carried out on 48 patients with mandibular fractures. Twenty-four patients were treated with close method and Erich arch bars and 24 patients with open method and without Erich arch bars. Periodontium clinical indices, including plaque index (PI), gingival index (GI), bleeding on probing (BOP), and probing pocket depth (PPD), were measured immediately before the surgery and four, six, and eight weeks later.Results: After four, six, and eight weeks, subjects with arch bars had significantly greater PI, GI, and PPD (P value 0.001).Conclusions: According to the results, the use of Erich arch barsmore decreased periodontium status compared to the other group.
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下颌骨折用与不用Erich弓棒固定时牙周组织反应的比较
背景:下颌骨骨折截骨常用的固定方法有两种:带Erich弓棒的封闭式固定方法和不带Erich弓棒的开放式固定方法。牙周炎,继下颌固定方法,是一个并发症的愈合期。目的:本研究旨在评估和比较使用和不使用Erich弓棒固定下颌骨骨折时牙周组织的反应。方法:对48例下颌骨骨折患者进行横断面研究。24例采用闭式法加Erich弓棒治疗,24例采用开式法不加Erich弓棒治疗。牙周组织临床指标,包括牙菌斑指数(PI)、牙龈指数(GI)、探诊出血(BOP)和探诊袋深度(PPD),分别在手术前和术后4、6、8周进行测量。结果:在4周、6周和8周后,弓形棒组受试者的PI、GI和PPD显著增加(P值0.001)。结论:与对照组相比,使用Erich牙周弓能明显降低牙周组织状况。
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来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
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