IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES
Highlights: • This study shows that occlusal wafers can effectively correct malocclusion in patients with segmental mandibular fractures after ORIF plating. • Occlusal wafers help reshape the dental arch within 2 to 4 weeks, reduce surgery time, and simplify follow-up care, making them a valuable...
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| Format: | Article |
| Language: | English |
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UNIVERSITAS AIRLANGGA
2024-12-01
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| Series: | Jurnal Rekonstruksi dan Estetik |
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| Online Access: | https://e-journal.unair.ac.id/JRE/article/view/54889 |
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| author | Chintia Amelia Pratiwi Mirnasari Amirsyah Teuku Nanda Putra |
| author_facet | Chintia Amelia Pratiwi Mirnasari Amirsyah Teuku Nanda Putra |
| author_sort | Chintia Amelia Pratiwi |
| collection | DOAJ |
| description | Highlights:
• This study shows that occlusal wafers can effectively correct malocclusion in patients with segmental mandibular fractures after ORIF plating.
• Occlusal wafers help reshape the dental arch within 2 to 4 weeks, reduce surgery time, and simplify follow-up care, making them a valuable option for surgeons.
Abstract:
Introduction: Improper treatment of severe mandibular fractures can lead to malocclusion, which poses a significant challenge for reconstructive surgeons. The occlusal wafer provides an effective solution for managing malocclusion following ORIF plating of maxillofacial fractures during the one-month postoperative evaluation period. Made from acrylic resin, the occlusal wafer serves as an intermediate guide in orthognathic surgery. It helps reposition the maxilla, adjust the mandible, and modify the jawbones to achieve ideal occlusion. The device can reshape the dental arch to any pre-planned position within 2 to 4 weeks.
Case Illustration: We present two cases of patients with segmental fractures.Case 1: A 26-year-old male also had segmental fractures of the left angle and right body of the mandible. He achieved occlusion after ORIF plating; however, malocclusion developed during the three-week follow-up. Case 2: A 28-year-old female presented with segmental fractures of the left angle and right body of the mandible. She initially achieved occlusion after ORIF plating, but malocclusion was noted during the one-month follow-up.
Discussion: Both of these patients had segmental fractures and experienced malocclusion following ORIF plating, but occlusion was achieved after occlusal wafer installation.
Conclusion: The use of an occlusal wafer facilitates optimal occlusion, streamlines the surgical procedure by reducing operating time, and enhances the ease of postoperative monitoring. This approach proves particularly valuable in cases where ORIF plating has been performed yet ideal occlusal alignment remains unachieved. |
| format | Article |
| id | doaj-art-4bd8237db61644d09a48dc2e4f989bc2 |
| institution | Kabale University |
| issn | 2301-7937 2774-6062 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | UNIVERSITAS AIRLANGGA |
| record_format | Article |
| series | Jurnal Rekonstruksi dan Estetik |
| spelling | doaj-art-4bd8237db61644d09a48dc2e4f989bc22025-01-07T04:21:53ZengUNIVERSITAS AIRLANGGAJurnal Rekonstruksi dan Estetik2301-79372774-60622024-12-0192919910.20473/jre.v9i2.5488953051IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIESChintia Amelia Pratiwi0Mirnasari Amirsyah1Teuku Nanda Putra2https://orcid.org/0000-0003-0567-8673Plastic Reconstructive and Aesthetic Surgery Resident, Surgery Department, Medical Faculty Syiah Kuala / Zainoel Abidin General Hospital, Banda Aceh, IndonesiaPlastic Reconstructive and Aesthetic Surgery Subdivision, Surgery Department, Medical Faculty Syiah Kuala / Zainoel Abidin General Hospital, Banda Aceh, IndonesiaMedical Research Unit, School of Medicine, Syiah Kuala University, Banda Aceh, IndonesiaHighlights: • This study shows that occlusal wafers can effectively correct malocclusion in patients with segmental mandibular fractures after ORIF plating. • Occlusal wafers help reshape the dental arch within 2 to 4 weeks, reduce surgery time, and simplify follow-up care, making them a valuable option for surgeons. Abstract: Introduction: Improper treatment of severe mandibular fractures can lead to malocclusion, which poses a significant challenge for reconstructive surgeons. The occlusal wafer provides an effective solution for managing malocclusion following ORIF plating of maxillofacial fractures during the one-month postoperative evaluation period. Made from acrylic resin, the occlusal wafer serves as an intermediate guide in orthognathic surgery. It helps reposition the maxilla, adjust the mandible, and modify the jawbones to achieve ideal occlusion. The device can reshape the dental arch to any pre-planned position within 2 to 4 weeks. Case Illustration: We present two cases of patients with segmental fractures.Case 1: A 26-year-old male also had segmental fractures of the left angle and right body of the mandible. He achieved occlusion after ORIF plating; however, malocclusion developed during the three-week follow-up. Case 2: A 28-year-old female presented with segmental fractures of the left angle and right body of the mandible. She initially achieved occlusion after ORIF plating, but malocclusion was noted during the one-month follow-up. Discussion: Both of these patients had segmental fractures and experienced malocclusion following ORIF plating, but occlusion was achieved after occlusal wafer installation. Conclusion: The use of an occlusal wafer facilitates optimal occlusion, streamlines the surgical procedure by reducing operating time, and enhances the ease of postoperative monitoring. This approach proves particularly valuable in cases where ORIF plating has been performed yet ideal occlusal alignment remains unachieved.https://e-journal.unair.ac.id/JRE/article/view/54889occlusal wafersegmental mandible fractureorif platingmaloclussion |
| spellingShingle | Chintia Amelia Pratiwi Mirnasari Amirsyah Teuku Nanda Putra IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES Jurnal Rekonstruksi dan Estetik occlusal wafer segmental mandible fracture orif plating maloclussion |
| title | IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES |
| title_full | IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES |
| title_fullStr | IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES |
| title_full_unstemmed | IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES |
| title_short | IMPLEMENTATION OF AN OCCLUSAL WAFER IN SEVERE MANDIBULAR FRACTURE CASES WITH POST-ORIF MALOCCLUSION: A CASE SERIES |
| title_sort | implementation of an occlusal wafer in severe mandibular fracture cases with post orif malocclusion a case series |
| topic | occlusal wafer segmental mandible fracture orif plating maloclussion |
| url | https://e-journal.unair.ac.id/JRE/article/view/54889 |
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