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弹性分离器在颌面骨折复位中的应用。

Use of Elastomeric Separators in Maxillofacial Fracture Reduction.

作者信息

Mohanty Rajat, Jha Chhaya

机构信息

Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha 751024 India.

Ramakrishna Mission Tb Sanatorium, Dibdih, Near Dibdih Flyover, Ranchi, Jharkhand 834002 India.

出版信息

J Maxillofac Oral Surg. 2021 Dec;20(4):700-701. doi: 10.1007/s12663-021-01525-0. Epub 2021 Feb 22.

DOI:10.1007/s12663-021-01525-0
PMID:34776706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8554903/
Abstract

BACKGROUND

Management of maxilla and mandibular fractures are based on the principles of reduction, fixation and immobilization of the fracture segments.

PURPOSE

One of the processes of reduction is to apply continuous and gradual elastic traction by placing elastics from the upper and lower arch bars in a definite manner and direction as per the fracture line. Orthodontic elastic separators are versatile, and the major advantage is the higher traction forces as compared to conventional elastics.

METHODS

Prestretched separator elastics were guided over the arch bar or fixed orthodontic appliances to provide desired traction.

RESULTS

Orthodontic elastic separators are therefore versatile, and the major advantage is the higher traction forces as compared to conventional elastics. They provide an edge over the use of wires as they tend to break off by work hardening.

CONCLUSION

Therefore, we have adapted orthodontic separators and have used them in place of conventional elastics for the last 10 years with appreciable results after taking informed consent from the patients.

摘要

背景

上颌骨和下颌骨骨折的治疗基于骨折段复位、固定和制动的原则。

目的

复位过程之一是按照骨折线,以上下牙弓杆特定的方式和方向放置弹力线,施加持续且逐渐增大的弹性牵引。正畸弹性分离器用途广泛,主要优点是与传统弹力线相比,牵引力更大。

方法

将预拉伸的分离器弹力线引导至牙弓杆或固定正畸矫治器上,以提供所需的牵引力。

结果

因此,正畸弹性分离器用途广泛,主要优点是与传统弹力线相比,牵引力更大。与使用金属丝相比,它们具有优势,因为金属丝往往会因加工硬化而折断。

结论

因此,在获得患者知情同意后,过去10年来我们采用了正畸分离器并将其用于替代传统弹力线,取得了显著效果。

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本文引用的文献

1
Comparative analysis of force degradation of latex orthodontic elastics of 5/16'' diameter: an in vitro study.
Minerva Stomatol. 2016 Oct;65(5):284-90.
2
Conservative treatment of a mandibular condyle fracture: Comparing intermaxillary fixation with screws or arch bar. A randomised clinical trial.下颌髁突骨折的保守治疗:比较螺钉或牙弓夹板颌间固定。一项随机临床试验。
J Craniomaxillofac Surg. 2015 Jun;43(5):671-6. doi: 10.1016/j.jcms.2015.03.010. Epub 2015 Mar 27.
3
Perceived vs measured forces of interarch elastics.牙弓间橡皮圈的感知力与实际测量力。
Am J Orthod Dentofacial Orthop. 2012 Mar;141(3):298-306. doi: 10.1016/j.ajodo.2011.08.027.
4
Management of fractured mandibles without the use of intermaxillary wire fixation.不使用颌间钢丝固定治疗下颌骨骨折
J Oral Maxillofac Surg. 2002 Dec;60(12):1435-8; discussion 1439. doi: 10.1053/joms.2002.36100.
5
The use of orthodontic chain elastic for temporary intermaxillary fixation.正畸链状弹力圈用于临时颌间固定。
Br J Oral Maxillofac Surg. 1993 Aug;31(4):250-1. doi: 10.1016/0266-4356(93)90150-u.