Dharaskar Shrinivas, Athavale Smita, Kakade Dilip
Department of Prosthodontics, Dr. D. Y. Patil Dental College, Pimpri, Pune, 411018 India.
J Indian Prosthodont Soc. 2014 Dec;14(4):415-8. doi: 10.1007/s13191-013-0294-2. Epub 2013 Jun 14.
Treating edentulous mandibular fracture is difficult in elderly patients due to compromised medical condition of the patient and various contraindications for the surgical approach. The complication rate of infection or malunion is higher compared to fractures in younger, dentulous patients. For such conditions, 'Gunning splint' is a better option as it provides close reduction and stabilization of mandibular fracture, thus improving the prognosis.
由于患者身体状况不佳以及手术入路存在各种禁忌症,老年患者的无牙下颌骨折治疗难度较大。与年轻有牙患者的骨折相比,感染或骨不连的并发症发生率更高。对于此类情况,“冈宁夹板”是一个更好的选择,因为它能使下颌骨折得到紧密复位和固定,从而改善预后。