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Related Experiment Videos

Resorbable versus titanium plates for orthognathic surgery.

Z Fedorowicz1, M Nasser, J T Newton

  • 1Bahrain Branch of the UK Cochrane Centre, Box 25438, Awali, Bahrain. zbysfedo@batelco.com.bh

The Cochrane Database of Systematic Reviews
|April 20, 2007
PubMed
Summary
This summary is machine-generated.

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For orthognathic surgery, bioresorbable fixation systems show no significant difference compared to titanium systems regarding patient discomfort, satisfaction, or adverse effects like plate exposure and infection.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomaterials Science
  • Orthodontics

Background:

  • Titanium plates and screws have limitations in bone fixation.
  • Bioresorbable materials offer potential advantages for plates in orthognathic surgery.
  • Concerns exist regarding bioresorbable fixation stability, degradation time, and foreign body reactions.

Purpose of the Study:

  • To compare the effectiveness of bioresorbable fixation systems versus titanium systems in orthognathic surgery.

Main Methods:

  • Searched Cochrane Oral Health Group Trials Register, CENTRAL, MEDLINE, and EMBASE databases.
  • Included randomized controlled trials comparing resorbable and titanium fixation systems for orthognathic surgery.
  • Descriptive summary presented due to clinical heterogeneity precluding data pooling.

Related Experiment Videos

Main Results:

  • Two trials with 103 participants were included.
  • No statistically significant differences were found in postoperative discomfort or patient satisfaction.
  • Adverse effects like plate exposure and infection rates were similar between titanium and bioresorbable groups.

Conclusions:

  • Bioresorbable fixation systems demonstrate comparable outcomes to titanium systems in orthognathic surgery.
  • No significant differences in postoperative discomfort, patient satisfaction, plate exposure, or infection rates were observed.
  • Further research may be needed to fully elucidate long-term stability and degradation profiles.