Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system
The external traction hooks of the intraoral splint used to control traction forces applied to the maxilla with the rigid external distraction system represent a major barrier to surgical procedures. The purpose of this article is to introduce a removable intraoral splint with locking attachments th...
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2014
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th-cmuir.6653943832-10102014-08-29T09:17:35Z Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system Suzuki E.Y. Suzuki B. The external traction hooks of the intraoral splint used to control traction forces applied to the maxilla with the rigid external distraction system represent a major barrier to surgical procedures. The purpose of this article is to introduce a removable intraoral splint with locking attachments that can be placed post-surgically immediately before distraction, facilitating surgery and consequently reducing the operative time. Fifteen cleft lip and palate patients underwent maxillary distraction osteogenesis using a rigid external distraction device in combination with the proposed removable splint that was fixed onto the maxillary teeth to provide anchorage. Initial records showed severe maxillary hypoplasia and negative overjet. The removable splint was fabricated using 1.5-mm diameter stainless-steel rigid orthodontic wires soldered to the locking attachments (Y&B Products LP, Chiang Mai, Thailand), making possible its placement post-surgically. Stable splint fixation was achieved prior to the distraction procedure and the desired treatment goals were reached. No complications inserting or removing the splint post-surgically, including pain or discomfort, were observed. The use of the removable splint with locking attachments has proved to be a highly effective fixation approach to manage the severely hypoplastic maxilla, eliminating lip constraints resulting from scarring, and allowing for easier, more deliberate and careful dissection. © 2007 International Association of Oral and Maxillofacial Surgeons. 2014-08-29T09:17:35Z 2014-08-29T09:17:35Z 2007 Article 09015027 10.1016/j.ijom.2007.05.013 17629458 IJOSE http://www.scopus.com/inward/record.url?eid=2-s2.0-36248995307&partnerID=40&md5=a1a5e8f35822d50849ed1353c138be0d http://www.ncbi.nlm.nih.gov/pubmed/17629458 http://cmuir.cmu.ac.th/handle/6653943832/1010 English |
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The external traction hooks of the intraoral splint used to control traction forces applied to the maxilla with the rigid external distraction system represent a major barrier to surgical procedures. The purpose of this article is to introduce a removable intraoral splint with locking attachments that can be placed post-surgically immediately before distraction, facilitating surgery and consequently reducing the operative time. Fifteen cleft lip and palate patients underwent maxillary distraction osteogenesis using a rigid external distraction device in combination with the proposed removable splint that was fixed onto the maxillary teeth to provide anchorage. Initial records showed severe maxillary hypoplasia and negative overjet. The removable splint was fabricated using 1.5-mm diameter stainless-steel rigid orthodontic wires soldered to the locking attachments (Y&B Products LP, Chiang Mai, Thailand), making possible its placement post-surgically. Stable splint fixation was achieved prior to the distraction procedure and the desired treatment goals were reached. No complications inserting or removing the splint post-surgically, including pain or discomfort, were observed. The use of the removable splint with locking attachments has proved to be a highly effective fixation approach to manage the severely hypoplastic maxilla, eliminating lip constraints resulting from scarring, and allowing for easier, more deliberate and careful dissection. © 2007 International Association of Oral and Maxillofacial Surgeons. |
format |
Article |
author |
Suzuki E.Y. Suzuki B. |
spellingShingle |
Suzuki E.Y. Suzuki B. Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system |
author_facet |
Suzuki E.Y. Suzuki B. |
author_sort |
Suzuki E.Y. |
title |
Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system |
title_short |
Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system |
title_full |
Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system |
title_fullStr |
Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system |
title_full_unstemmed |
Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system |
title_sort |
removable splint with locking attachments for maxillary distraction osteogenesis with the red system |
publishDate |
2014 |
url |
http://www.scopus.com/inward/record.url?eid=2-s2.0-36248995307&partnerID=40&md5=a1a5e8f35822d50849ed1353c138be0d http://www.ncbi.nlm.nih.gov/pubmed/17629458 http://cmuir.cmu.ac.th/handle/6653943832/1010 |
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