Bone screws and plates in orthognathic surgery

Area of Science:

• Oral and Maxillofacial Surgery
• Orthodontics
• Biomaterials in Medicine

Background:

• Orthognathic surgery frequently employs bone plates and screws for fragment fixation.
• The stability provided by osteosynthesis is crucial for successful surgical outcomes.

Purpose of the Study:

• To survey the use of bone plates and screws in orthognathic procedures.
• To advocate for the benefits of this fixation technique based on clinical experience.

Main Methods:

• Review of current practices in orthognathic surgery.
• Analysis of personal clinical experience with bone plates and screws.

Main Results:

• Bone plates and screws provide enhanced stabilization of bone fragments.
• This technique leads to accelerated bone healing and decreased post-surgical relapse.
• Advantages include shorter intermaxillary fixation and earlier mouth opening.
• Disadvantages involve a higher incidence of nerve disturbances and potential need for hardware removal.

Conclusions:

• The use of bone plates and screws represents a significant advancement in correcting maxillo-facial deformities.
• Optimized fragment stabilization contributes to improved patient recovery and functional outcomes.