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Plast Reconstr Surg Glob Open. 2017 Sep 5;5(9):e1473. doi: 10.1097/GOX.0000000000001473. eCollection 2017 Sep.

A Technique for Reduction of Edentulous Fractures Using Dentures and SMARTLock Hybrid Fixation System.

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Department of Surgery, Division of Plastic, Maxillofacial and Oral Surgery, Duke University Medical Center, Durham, N.C.; and Duke University School of Medicine, Durham, N.C.


Establishing anatomic reduction of an edentulous mandible fracture is a frequently acknowledged challenge in craniomaxillofacial trauma surgery. In this study, we report a novel method for the reduction of the edentulous mandible fracture, via fabrication of modified Gunning splints using existing dentures and SMARTLock hybrid arch bars. This technique dramatically simplifies the application of an arch bar to dentures, obviates the need for the fabrication of impressions and custom splints, and eliminates the lag time associated with the creation of splints. Furthermore, this method may be used with or without adjunctive rigid internal fixation. The technique described herein of creating Gunning splints with SMARTLock hybrid arch bars provides surgeons with a simple, rapid, single-stage solution for reduction of mandibular fractures in the edentulous patient.

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