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58035

EVALUATION OF RESORBABLE PLATES WITH ULTRASONIC WELDED PINS IN THE MANAGEMENT OF MIDFACE FRACTURES (CLINICAL, HISTOLOGICAL, AND BIOMECHANICAL STUDY)

Article

Last updated: 22 Jan 2023

Subjects

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Tags

Oral and maxillofacial surgery

Abstract

INTRODUCTION: The use of biodegradable screws has a number of limiting factors including poor mechanical stability, difficult handling properties, and time-consuming fixation. A new application system by welding a special configured resorbable pin through ultrasound may overcome the disadvantages of thread tapping. OBJECTIVES: Was to evaluate resorbable plates with ultrasonic welded pins in management of midface fracture. MATERIALS AND METHODS: Was conducted clinically on 20 midface fracture cases fixed with resorbable plates with ultrasonic welded pins, histologically on 4 healthy adult mongrel dogs, and biomechanically on 15 specimens tested for tension, bending, and torsion stiffness of this system. RESULTS: Clinically intraoperative handling showed 13% failure rate for the total number of pins placed for all cases, with stability failure in 10% of cases, and mean time needed for fixation of each plate was 10.6 minutes, however postoperative clinical results were normal with no significant complications. Radiographically; adequate bone healing with delayed resorption of pins was observed during follow-up phase which was continued till 12th week postoperatively. Histological study revealed woven bone growing in the defect area and development of new bone, osteocytes and osteoblasts seen on bone surface. Biomechanical study showed mean tensile stiffness 498.982 N/mm while mean bending stiffness was 1.176 N/mm and mean torsion stiffness was 0.342 N/mm. CONCLUSIONS: This retrospective study shows the general feasibility, sufficient mechanical stability, and efficient intraoperative handling of resorbable plates with ultrasonic welded pins in management of midface fractures

DOI

10.21608/adjalexu.2016.58035

Keywords

Resorbable plate, Ultrasound welded pin, Midface fracture, SonicWeld Rx

Authors

First Name

Ahmed O.

Last Name

Sweedan

MiddleName

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Affiliation

- Assistant lecturer at Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University.

Email

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City

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Orcid

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First Name

Nagy E.

Last Name

Hassan

MiddleName

-

Affiliation

Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University

Email

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City

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Orcid

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First Name

Samraa A.

Last Name

El-Sheikh

MiddleName

-

Affiliation

Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University

Email

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City

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Orcid

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First Name

Riham M.

Last Name

El-Dibany

MiddleName

-

Affiliation

Professor of Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

Email

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City

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Orcid

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First Name

Khadiga Y.

Last Name

Kawana

MiddleName

-

Affiliation

Professor of Oral Biology, Department of Oral Biology, Faculty of Dentistry, Alexandria University.

Email

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City

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Orcid

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Volume

41

Article Issue

3

Related Issue

8731

Issue Date

2016-12-01

Receive Date

2019-11-10

Publish Date

2016-12-01

Page Start

269

Page End

276

Print ISSN

1110-015X

Online ISSN

2536-9156

Link

https://adjalexu.journals.ekb.eg/article_58035.html

Detail API

https://adjalexu.journals.ekb.eg/service?article_code=58035

Order

7

Type

Original Article

Type Code

1,057

Publication Type

Journal

Publication Title

Alexandria Dental Journal

Publication Link

https://adjalexu.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023