Aymach Z, Nei H, Kawamura H, Bell W. Biomechanical evaluation of a T-shaped miniplate fixation of a modified sagittal split ramus osteotomy with buccal step, a new technique for mandibular orthognathic surgery.
ACTA ACUST UNITED AC 2010;
111:58-63. [PMID:
20580286 DOI:
10.1016/j.tripleo.2010.03.028]
[Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2009] [Revised: 02/22/2010] [Accepted: 03/22/2010] [Indexed: 10/19/2022]
Abstract
OBJECTIVE
The purpose of this study was to biomechanically evaluate the stability of a T-shaped miniplate fixation of a modified sagittal split ramus osteotomy (MSSRO) with buccal step and to compare it with single or double-parallel straight miniplates fixing a standard sagittal split ramus osteotomy (SSRO).
STUDY DESIGN
Eighteen Synbone mandibular replicas were used in the study and divided into 3 groups. Standard SSRO was applied in the first and second groups, and the third group was cut for MSSRO with buccal step. After 7 mm of advancement, fixation modalities for the 3 groups included a single straight miniplate, double-parallel straight miniplates, and a T-shape miniplate, respectively. Each model was secured in a jig and subjected to vertical load on the anterior teeth.
RESULTS
The T miniplate group showed a significantly higher value for stability than the group with a single straight miniplate. There was no significant difference in stability between the T miniplate and the double-parallel straight miniplate groups.
CONCLUSION
For mandibular advancement surgery of 7 mm in a laboratory environment, a T-shaped miniplate used with MSSRO and buccal step as a combination significantly optimize the resistance and stability of the fixation compared with a standard SSRO fixed with a single straight miniplate.
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