自攻螺钉与Erich弓棒线在下颌骨折手术治疗中咬合维持的比较:一项随机对照试验

S. Begum, Toufiqua Ahmed, M. A. Hossain, M. M. Akhtar, Mahmuda Akter, Sharmin Aktar Soma, M. Kamruzzaman
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引用次数: 0

摘要

背景:传统的方法如Erich 's弓棒和孔丝目前是实现临时上颌间固定(IMF)最常见的方法。目的:本研究的目的是比较自攻螺钉与Erich弓棒钢丝在颌骨间固定治疗下颌骨骨折的疗效。方法:这是一项随机对照试验研究。研究时间为一年,从2014年10月到2015年9月。本研究纳入了在孟加拉国达卡的Bangabandhu Sheikh Mujib医科大学口腔颌面外科就诊的22至65岁的下颌骨折患者。根据纳入和排除标准随机抽样后,采用微型钢板内固定进行手术治疗。研究人群分为两组。A组采用Erich 's弓棒进行临时MMF治疗,B组采用自攻螺钉治疗。研究结果为达到暂时性MMF所需的总时间、丝棒损伤数、咬合稳定性和口腔卫生指标。术前和术后14天测量所有参数,直至取出螺钉或弓杆。结果:螺钉治疗临时MMF的平均时间为11.31±2.46 min,而Erich弓棒治疗的平均时间为84.72±14.30 min。A组平均穿孔数明显多于A组,牙合稳定性为69.2%,B组为84.6%。A组斑块指数平均值为2.85±0.25,B组为1.15±0.16。结论:综上所述,a组斑块沉积更多。Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):175-180
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Comparison of Self-Tapping Screws Versus Erich’s Arch Bar Wiring for Occlusion Maintenance in the Surgical Management of Mandibular Fracture: A Randomized Control Trial
Background: Conventional methods like Erich’s arch bars and eyelet wires are currently most common methods for achieving temporary inter-maxillary fixation (IMF). Objectives: The purpose of the present study was to compare the efficacy of Self-tapping screws over Erich’s arch bar wiring for inter maxillary fixation in the treatment of mandibular fractures. Methodology: This was a randomized control trial study. Study duration was one year from October 2014 to September 2015. This study involved patients with mandibular fractures aged 22 to 65 years who visited Department of Oral & Maxillofacial Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh. After random sampling according to inclusion and exclusion criteria surgical treatment was done by miniplate osteosynthesis. Study population were divided into two groups. In group A, temporary MMF was done with Erich’s arch bar and in group B treatment was given with self-tapping screws. The study outcomes were total time required for achieving temporary MMF, number of wire stick injury, stability of occlusion and oral hygiene index. All the parameters were measured preoperatively and postoperatively for 14 days up to removal of screws or arch bars. Results: The mean time taken for temporary MMF was 11.31±2.46 min with screws as compared to 84.72±14.30 min with Erich’s arch bar. Mean number of perforations were significantly more in group A. Occlusion stability was 69.2% in group A and 84.6% in group B. The mean value of plaque index in group A was 2.85±0.25 and in group B was 1.15± 0.16. Conclusion: In conclusion, plaque deposition was more in group A. Journal of National Institute of Neurosciences Bangladesh, July 2022;8(2):175-180
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