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Stryker SMARTLock Hybrid Maxillomandibular Fixation System: Clinical Application, Complications, and Radiographic

Douglas E Kendrick1, Chan M Park, Jesse M Fa

  • 1Oakland, Calif. From the University of the Pacific School of Dentistry, Highland Hospital Division of Oral and Maxillofacial Surgery.

Plastic and Reconstructive Surgery
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The SMARTLock Hybrid MMF System offers a safe and user-friendly option for maxillomandibular fixation, with costs comparable to traditional methods. Careful patient selection is advised for optimal outcomes.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomaterials and Medical Devices

Background:

  • The SMARTLock Hybrid MMF System represents an innovative approach to maxillomandibular fixation.
  • This study evaluates its clinical utility, complications, radiographic outcomes, and cost-effectiveness.

Purpose of the Study:

  • To assess the clinical application of the SMARTLock Hybrid MMF System.
  • To document complications, radiographic findings, and cost-effectiveness.
  • To compare the SMARTLock system with traditional methods like Erich arch bars.

Main Methods:

  • A retrospective cohort study involving patients treated with the SMARTLock system over six months.
  • Data collected included patient demographics, fracture details, surgical times, and complications.
  • Cost analysis was performed to compare with Erich arch bars.

Main Results:

  • Twenty-four patients were analyzed, with a mean age of 30.7 years. Mean application and removal times were 14.4 and 10.5 minutes, respectively.
  • Common complications included mucosal overgrowth (38%), screw loosening (17%), and lip irritation (17%).
  • Radiographic analysis revealed screw damage to teeth in 7.5% of cases. Cost analysis indicated similar expenses compared to Erich arch bars.

Conclusions:

  • The SMARTLock Hybrid MMF System is demonstrated to be safe and easy to implement.
  • Its cost is comparable to Erich arch bars, suggesting a viable alternative.
  • Judicious case selection, informed by treatment planning and surgical experience, is crucial for successful application.