Alhabshi Manaf O, Taweel Duaa M, Alahmary Hashm M, Al-Suhaymi Osama H, Al-Bander Mohammed R, Al-Suroor Taif A, Al-Shahrani Afaf M, Alshallaa Bayan H, Bakhamis Bushra A
Oral and Maxillofacial Surgery, King Abdullah Medical City, Jeddah, SAU.
Dentistry, Ministry of Health, Jeddah, SAU.
Cureus. 2024 Jun 25;16(6):e63128. doi: 10.7759/cureus.63128. eCollection 2024 Jun.
Maxillofacial fractures present complex challenges requiring effective orthodontic management to restore function and aesthetics. This review explores various orthodontic techniques, including fixed braces, maxillomandibular fixation (MMF), functional orthodontic therapy (FOT), and acrylic splints, emphasizing their roles in stabilizing fractures and promoting healing. The management of condylar fractures is discussed, highlighting the benefits of early intervention with functional appliances to facilitate condylar remodeling in children and adolescents. Additionally, the review covers splinting methods for dental and dentoalveolar fractures and the use of open reduction internal fixation (ORIF) for maxillary fractures. It addresses the complications and challenges of fracture management, the need for a multidisciplinary approach, and the limitations of current studies. Future directions include the use of advanced technologies such as virtual surgical planning (VSP) and 3D printing to enhance treatment precision and outcomes. This review provides a comprehensive overview of orthodontic strategies for maxillofacial fractures, offering insights into clinical applications and future advancements.
颌面骨折带来了复杂的挑战，需要有效的正畸治疗来恢复功能和美观。本综述探讨了各种正畸技术，包括固定矫治器、颌间固定（MMF）、功能性正畸治疗（FOT）和丙烯酸夹板，强调了它们在稳定骨折和促进愈合方面的作用。讨论了髁突骨折的治疗，强调了早期使用功能性矫治器进行干预对促进儿童和青少年髁突重塑的益处。此外，综述还涵盖了牙齿和牙槽突骨折的夹板固定方法以及上颌骨折的切开复位内固定（ORIF）的应用。它阐述了骨折治疗的并发症和挑战、多学科方法的必要性以及当前研究的局限性。未来的方向包括使用虚拟手术规划（VSP）和3D打印等先进技术来提高治疗精度和效果。本综述全面概述了颌面骨折的正畸策略，为临床应用和未来进展提供了见解。
