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Related Experiment Video

Updated: Dec 2, 2025

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

Dentoalveolar Fractures: New Orthodontic Protocol Proposal and Pilot Study.

Giovanni Dell'Aversana Orabona¹, Stefania Perrotta², Giorgio Lo Giudice¹

¹Maxillofacial Surgery Unit, Department of Neurosciences.

The Journal of Craniofacial Surgery

|November 2, 2020

Summary

This study proposes a novel orthodontic treatment protocol for dentoalveolar fractures, leveraging the Regional Acceleratory Phenomenon to enhance bone healing. The protocol demonstrated successful outcomes, promoting functional and aesthetic recovery in patients with facial trauma.

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Last Updated: Dec 2, 2025

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Area of Science:

Oral and Maxillofacial Surgery
Orthodontics
Dental Traumatology

Background:

Dentoalveolar fractures require treatment focused on bone healing, occlusion restoration, and preventing dental complications.
The Regional Acceleratory Phenomenon (RAP) is a physiological response to injury that can also be stimulated by orthodontic forces.
Exploiting RAP may enhance healing in traumatized dentoalveolar structures.

Observation:

This study introduces a three-step treatment protocol for dentoalveolar fractures: orthodontic bracket application, surgery, and orthodontic treatment.
Two cases, an 18-year-old female and a 23-year-old male, with dentoalveolar fractures were treated using this protocol.
Patients were followed for 3 months for healing assessment and up to 18 months for comprehensive orthodontic management.

Findings:

The proposed protocol resulted in complete bone healing within 3 months post-treatment.
The orthodontic device functioned as an "active splinting system," facilitating healing and planned dental movements.
The treatment approach showed a low complication rate and good patient acceptance.

Implications:

This orthodontic-based protocol offers a rational and effective strategy for managing dentoalveolar fractures.
It integrates fracture stabilization with subsequent orthodontic correction, improving functional and aesthetic outcomes.
The approach capitalizes on the body's natural healing mechanisms for accelerated recovery in dental trauma patients.