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Related Experiment Video

Updated: Jul 12, 2026

Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material
07:42

Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material

Published on: December 20, 2024

CAD-CAM Splints Versus Arch Bars for Management of Dentate Mandibular Fractures - A Randomized Control Study.

Varad Rajendra Saptarshi1, Srivalli Natarajan2

  • 1Former Resident, Department of Oral & Maxillofacial Surgery, MGM Dental College & Hospital, Navi Mumbai, India; Currently Pursuing Fellowship in Facial Plastic & Cosmetic Surgery, Mumbai, India.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|July 10, 2026
PubMed
Summary
This summary is machine-generated.

CAD-CAM splints offer improved occlusal outcomes and reduced need for maxillomandibular fixation (MMF) compared to arch bars in treating mandibular fractures. This CAD-CAM approach shows promise for better patient results in oral surgery.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Biomedical Engineering
  • Dental Materials Science

Background:

  • Mandibular fractures present surgical challenges, requiring precise occlusion restoration.
  • Conventional maxillomandibular fixation (MMF) techniques have limitations impacting treatment efficacy.

Purpose of the Study:

  • To compare the clinical efficacy of CAD-CAM splints versus conventional arch bars for MMF.
  • Evaluate these techniques in patients undergoing open reduction and internal fixation (ORIF) for dentate mandibular fractures.

Main Methods:

  • A single-blind randomized clinical study involved adult patients with dentate mandibular fractures.
  • Patients were randomized to receive either CAD-CAM splints or conventional arch bars for MMF.
  • Clinical efficacy was assessed by postoperative occlusion, MMF duration, and operative time.

Main Results:

  • 100% of CAD-CAM splint patients achieved normal occlusion at 4 weeks, versus 75% for arch bars (P=.02).
  • Mean operative time was shorter for CAD-CAM splints (50.4 min) compared to arch bars (59.9 min), though not statistically significant (P=.1).
  • Mean preparation time was similar between CAD-CAM splints (90.9 min) and arch bars (83.9 min) (P=.1).

Conclusions:

  • CAD-CAM splints demonstrate superior occlusal outcomes in MMF for mandibular fractures.
  • This technique may reduce the need for postoperative MMF, especially in complex cases.
  • CAD-CAM splints offer potential advantages in operative time for specific patient subgroups.