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Resorbable versus titanium plates for orthognathic surgery.

Anirudha Agnihotry1, Zbys Fedorowicz, Mona Nasser

  • 1Arthur A Dugoni School of Dentistry, University of the Pacific, 155 5th Street, San Francisco, CA, USA, 94103.

The Cochrane Database of Systematic Reviews
|October 5, 2017
PubMed
Summary
This summary is machine-generated.

Current evidence is insufficient to determine if titanium or bioresorbable plates are superior for orthognathic surgery fixation. This review found no significant differences in pain, satisfaction, or infection rates between the two materials.

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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 over metal plates in orthognathic surgery.
  • Concerns exist regarding bioresorbable plate stability, degradation time, and foreign body reactions.

Purpose of the Study:

  • To compare the clinical effects of bioresorbable fixation systems versus titanium systems in orthognathic surgery.
  • To update previous Cochrane reviews on this topic.

Main Methods:

  • Systematic review of randomized controlled trials comparing bioresorbable and titanium fixation systems for orthognathic surgery.
  • Searched multiple databases including Cochrane Library, MEDLINE, and Embase up to January 2017.
  • Two review authors independently screened studies, extracted data, and assessed risk of bias.

Main Results:

  • Included two trials with 103 participants; both studies had a high risk of bias.
  • No statistically significant differences were found in postoperative pain, patient satisfaction, or infection rates between titanium and bioresorbable plates.
  • Adverse effects like plate exposure occurred in both groups, primarily in the posterior maxillary region.

Conclusions:

  • Insufficient evidence exists to determine the superiority of titanium versus bioresorbable plates for orthognathic surgery.
  • Further high-quality research is needed to establish definitive clinical differences.
  • Current evidence does not support a difference in outcomes such as pain, satisfaction, or infection.