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Single arch stabilization devices for segmental orthognathic surgery.

R A Bays, R J Fonseca, T A Turvey

Oral Surgery, Oral Medicine, and Oral Pathology

|October 1, 1978

Summary

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Single arch stabilization of segmental osteotomies offers benefits over traditional methods by improving patient comfort and function. Modified arch bars serve as effective alternatives to orthodontic appliances for this purpose.

Area of Science:

Oral and Maxillofacial Surgery
Orthodontics
Biomaterials

Background:

Segmental osteotomies require stable fixation for optimal healing and functional outcomes.
Traditional intermaxillary fixation presents challenges in patient comfort, hygiene, and communication.

Purpose of the Study:

To evaluate methods for single arch stabilization of segmental osteotomies.
To identify alternatives to intermaxillary fixation that enhance patient outcomes.

Main Methods:

Review of current stabilization techniques including orthodontic appliances, modified arch bars, and cast splints.
Discussion of adjunctive devices like palatal plates, lingual plates, and interocclusal wafers.

Main Results:

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Orthodontic appliances with stabilizing arch wires are preferred when available.

Modified arch bars provide a viable alternative, offering similar benefits to orthodontic appliances.

Cast splints are effective but limited by cost and laboratory requirements.

Conclusions:

Single arch stabilization enhances patient comfort, oral hygiene, and function post-segmental osteotomy.
Modified arch bars represent a practical and effective alternative for segmental stabilization.
Adjunctive devices can further support various stabilization systems.