Utilization of virtual surgical planning for surgical splint assisted mandibular fracture reduction

Elshorbagy, Mohamed Mahmoud; Mohamed, Mohamed Abd elakher; El Naas, samy saeed

doi:10.21608/ajdsm.2023.256551.1487

	Utilization of virtual surgical planning for surgical splint assisted mandibular fracture reduction
Al-Azhar Journal of Dental Science
Volume 28, Issue 1, February 2025, Page 91-96 PDF (502.88 K)
Document Type: Original Article
DOI: 10.21608/ajdsm.2023.256551.1487
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Authors
Mohamed Mahmoud Elshorbagy ¹; Mohamed Abd elakher Mohamed²; samy saeed El Naas³
¹Maxilllofacial surgery, al_azhar university, faculty of dentists, Cairo
²professor of oral and maxillofacial department al-Azhar university
³Lecturer, Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Al-Azhar University, Cairo, Boys
Abstract
Objectives: The current study utilized virtual surgical planning for surgical splint-assisted mandibular fracture reduction and fixation by miniplates and screw in comparison to conventional Erich arch bar application. Patient and methods: twelve patients having parasymphyseal or body fractures were included in the study. Their ages ranged between 20 and 43 years. Patients were randomly divided into two equal groups; Study group (n=6): mandibular fracture reduction was achieved by virtual surgical planning for lingual splint fabrication and application. Control group (n=6): mandibular fracture reduction was achieved by Erich arch bar. The patients were clinically and radiographically evaluated through assessing operation time, occlusion by T scan and bone density.Results: The operating time of the study group 20.67 ± 5.05 min was statistically significantly lower than in the control group 48.5 ± 7.94 min. The occlusion improvement of the study group was significantly better than control group after both 1 week and 3 months. There was significant increase of bone density after 3 months in both groups.Conclusions: Virtual surgical planning for surgical splint (VSPSS) simplifies the reduction and fixation of mandibular fractures, especially those which are displaced lingual, decrease operating time and improve fracture stability. Keywords: Virtual surgical planning, lingual splint, Erich arch bar, Mandibular fracture.
Keywords
Virtual surgical planning; lingual splint; Erich arch bar; Mandibular fracture


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