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To Fraktur Mandibula

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tehnik operasi pada kraniofasial terutama tulang mandibula

Text of To Fraktur Mandibula

  • Teknik Operasi :Fraktur Mandibula BUDDY SETIAWAN SEBASTIANIYAN ASIANA SYAFAATWAHYU PRIATMOKO*

  • History of the Procedure1650 The first description of mandible fractures in Egyptian papyrus: examination, diagnosis, and treatment of mandible fractures.

    Hippocrates: reapproximation and immobilization using circumdental wires + external bandaging

    1180 importance of establishing proper occlusion first was described in a textbook written in Salerno, Italy.

    1492 Maxillomandibular fixation first was mentioned in Cyrugia. Chopart and Desault used dental prosthetic devices to immobilize fracture segments.*

  • History of the Procedurethe 19th century external bandage or wrap occasionally used in conjunction with a bridle wire throughout.

    Guglielmo Salicetti first accomplished the use of intermaxillary fixation. Orthodontic bands and arches were used for intermaxillary fixation.

    Gilmer reformed the treatment of fractures when he fixated full arch bars on both the mandible and the maxilla.

    Buck and Kinlock described the use of wire ligature for the immobilization of mandible fractures in the middle of the 19th century.

    In 1888, Schede was the first to use a solid steel plate held by 4 screws for fixation.*

  • Etiology*

  • Fractures sites *

  • Muscles*

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  • Types of Fracture*

  • Clinical assessment and diagnosis *

  • Clinical Examination*

  • *Classification of occlusion

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  • Classification by Anatomic Region*

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  • Definitive Treatment

    Objective: Restoration of functional alignment of the bone fragments in anatomically precise position utilizing the present teeth for guidance*

  • Principles of Treatment*

  • *Close Reduction*

  • *Close Reduction*

  • Application of Arch Bars*

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  • Gunnings Splint*

  • Open Reduction and Fixation*

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  • Intraoral Approach*

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  • *

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  • Extraoral Approach*

  • Extraoral Approach*

  • Extraoral Approach*

  • Extraoral Approach*

  • Wire Fixation*

  • Wire Fixation*

  • Wire Fixation*

  • *Rigid Fixation*

  • Treatment by Types of Fracture*

  • Treatment by Types of Fracture*

  • *

  • General Principle of Reduction and Fixation*

  • Plate and Screw Fixation*

  • Materials*

  • Materials*

  • Materials*

  • Instruments :*

  • Instruments: *

  • Instruments: bender/plier*

  • Instruments: cutter*

  • Plate & Screws*

  • *

  • *

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  • *Reconstruction Plate*

  • Lag Screws*

  • Fracture mandible in children*

  • Follow Up*

  • Complications*

  • ReferenceRedies M., 2008. Internal Fixation of Mandibular Fracture. AO Surgery. AO Research Institute, Davos (Swiszerland). Joseph J., Hidalgo D., 2007. Mandible Reconstruction. Grabb and Smiths Plastic Surgery 6th ed. Lipincott Williams & Wilkins, PhiladelphiaMoore J, 2010. Mandibular Fracture in Submandibular Approach. Principles of Oral and Maxillofacial Surgery 6th Ed. Wiley-Blackwell.

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    *Pertemuan Molar 1 maxilla ke buccal grove molar 1 mandibular2. Mandibula ke ventral3. Mandibula ke dorsal

    *