By H. M. Tschop (auth.), Bernd Spiessl M. D.,D. D. S. (eds.)
ISBN-10: 3642664849
ISBN-13: 9783642664847
ISBN-10: 3642664865
ISBN-13: 9783642664861
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Extra info for New Concepts in Maxillofacial Bone Surgery
Sample text
Reduction compression pliers. With both lateral pressure rollers the fragments can be rotated into the position that is best for a reduction. After reduction they can be precompressed at base of lower jaw with the grips on reduction pliers and in alveolar process with pressure rollers This can be illustrated by considering DCP plates where the screws have been put in excentrically toward the base (Fig. 60) or toward the alveolar process of the jaw (Fig. 61). The latter case leads to forces that intermittently change from positive to negative, because in the first case a force results which has the same direction as the functional stress, and in the second these forces act in the opposite direction.
2. Results Simple experiments on models (Fig. 66) have shown that the compression techniques that result in compression on the tension side have a greater stability. The summary of the results of these experiments is shown diagrammatically (Fig. 67): curves 1-5 show the values for the techniques with tension banding and 6-11 for those without tension banding. Fig. 66. Experimental plan for measuring stability 47 From curves 8-11 it is evident that stability decreases both with increasing compression (curves 10 and 11) and decreasing plate length (curves 8 and 9).
For instance, according to LENTRODT and HOLTJE (1975), the University Clinic for Maxillofacial Surgery in Hamburg still treats about two-thirds of all fractures of the mandible conservatively. The question of when rigid internal fixation is indicated should not be answered dogmatically. Paradoxically, as ALLGOWER (1975) has stated, it is not the fear of incomplete healing of the fracture which leads us to determine the indication for rigid internal fixation - no-one denies that consolidation of a fracture can be achieved by nonsurgical means.
New Concepts in Maxillofacial Bone Surgery by H. M. Tschop (auth.), Bernd Spiessl M. D.,D. D. S. (eds.)
by Edward
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