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SHR Neuro Cancer Cardio Lipid Metab Microb

Seemann, R; Undt, G; Lauer, G; Holawe, S; Schicho, K; Czerny, C; Krennmair, G; Ewers, R; Klug, C; Perisanidis, C.
Is failure of condylar neck osteosynthesis predictable based on orthopantomography?
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011; 111(3): 362-371. Doi: 10.1016/j.tripleo.2010.11.028
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Co-authors Med Uni Graz
Schicho Kurt
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Abstract:
Osteosynthesis failure rates of 11.3% with 1 miniplate, 6.7% with 2 miniplates, and 4.4% with a single Medartis condyle plate were reported in previous studies of our clinic. Current science is still focused on the osteosynthesis material. Besides clinical parameters, conventional radiographs are still the first choice to detect osteosynthesis failures. This study scrutinized several factors assessable in postoperative orthopantomographs which might elevate the risk of osteosynthesis failure. A total of 136 patients (22 with osteosynthesis failure, 114 without) with 151 mandibular condyle fractures were included in this study. Eight parameters were assessed in postoperative orthopantomographs. The best predictor of osteosynthesis failure was a simplified concept of ramus height. In cases of reduced or normal ramus height, the odds of osteosynthesis failure was significantly (P = .000001) reduced to a 10th. Isolated fractures were significantly more error prone (P = .0009). Postoperative orthopantomographs depict factors which increase the risk of osteosynthesis failure. Copyright © 2011 Mosby, Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Aftercare -
Biomechanical Phenomena -
Bone Plates -
Cephalometry - methods
Cohort Studies -
Endoscopy -
Follow-Up Studies -
Forecasting -
Fracture Fixation, Internal - methods
Humans -
Mandibular Condyle - injuries Mandibular Condyle - radiography Mandibular Condyle - surgery
Mandibular Fractures - radiography Mandibular Fractures - surgery
Radiography, Panoramic - methods
Retrospective Studies -
Rotation -
Time Factors -
Treatment Failure -

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