Maxillofac Plast Reconstr Surg.  2015 Feb;37(2):6. 10.1186/s40902-015-0003-7.

Bioabsorbable osteofixation for orthognathic surgery

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7 Jukheon-gil, Gangneung, 210-702 Korea. ywpark@gwnu.ac.kr

Abstract

Orthognathic surgery requires stable fixation for uneventful healing of osteotomized bony segments and optimal remodeling. Titanium plates and screws have been accepted as the gold standard for rigid fixation in orthognathic surgery. Although titanium osteofixation is the most widely used approach, the use of bioabsorbable devices has been increasing recently. Biodegradation of bioabsorbable devices eliminates the need for a second operation to remove metal plates and screws. However, long-term stability and relapse frequency in bioabsorbable osteofixation are still insufficiently studied, especially in cases of segmental movements of great magnitude or segmental movements to a position where bony resistance exists. This paper reviews the background, techniques, and complications of bioabsorbable osteofixation and compares bioabsorbable and titanium osteofixation in orthognathic surgery in terms of skeletal stability.

Keyword

Orthognathic surgery; Bioabsorbable plate; Biodegradation; Skeletal stability

MeSH Terms

Orthognathic Surgery*
Recurrence
Titanium
Titanium
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