Baltic Dental and Maxillofacial Journal
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June, 2005, Vol. 7, No. 2



Comparative analysis of the effectiveness of the mandibular angle fracture treatment methods
35 - 39

Chemomechanical caries removal for children
40 - 44

The microbiological status of patients with periodontitis in Southern Estonia after non-surgical periodontal therapy
45 - 47

The response of peripheral blood neutrophils unstimulated and stimulated by prodigiosan to smoking
48 - 51

Effectiveness evaluation of different suction systems
52 - 57

Dietary and oral hygiene habits in children with type I Diabetes Mellitus related to dental caries
58 - 62

© 2005 Stomatologija

Stomatologija 2005; 7 (2): 35-39 444 KB

Comparative Analysis of the effectiveness of the mandibular angle fracture treatment methods

Dainius Razukevičius, Gintautas Sabalys, Ričardas Kubilius


425 patients with mandibular angle fractures were treated at the Hospital of Kaunas University of Medicine (HKUM) Clinic of Maxillo-Facial Surgery. Treatment included the application of closed fracture fragments fixation methods (wire splint fixation, and Kirschner wire osteosynthesis), and methods of open fixation - osteosynthesis using the supra-periosteal miniplate, and osteosynthesis using supra-osseous Zes Pol plate (the latter method was modified by the authors). Relative computerized densitometry showed that closed fixation methods result in a faster healing of fractures. The findings of the pain threshold testing showed that open fixation methods more severely damage the function of the lower alveolar nerve. Using closed fixation methods, osteomyelitis occurred in 5.3% of cases, while using open fixation methods – in 15.3% of cases. Thus, the authors of the article maintain that when mandibular angle fractures, in the presence of suitable conditions, closed fracture fragments fixation methods should be given a priority.

Key words: treatment of mandibular angle fractures, damage to n. alveolaris inferior.

Received: 17 04 2005

Accepted for publishing: 20 06 2005

*Department of Maxillofacial Surgery, Kaunas Medical University

Dainius Razukevičius* - D.D.S., PhD student.

Gintautas Sabalys* - M.D.,, professor.

Ričardas Kubilius* - D.D.S.,, professor, Head of Department of Maxillofacial Surgery.

Address correspondence to Dainius Razukevičius: Department of Maxillofacial Surgery, Kaunas Medical University, Eivenių 2, Kaunas, Lithuania.