mandibular fracture

[DrDDSman]

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Is (as a result of trauma, not orthognathic surg) maxillary fixation strictly OMS? Is this within the scope of ortho to treat trauma? MMF is definitely a surgical procedure, but do any orthos do IMF?

 

[Bereno]

I've observed a few MMF cases; all were done by OMFS. Seems as though the surgeon was fixing whatever causes the problem to begin with (car accident, HUGE cyst, etc), so they just finished it with an MMF... Thats just my experience though

 

[DrDDSman]

I've observed a few MMF cases; all were done by OMFS. Seems as though the surgeon was fixing whatever causes the problem to begin with (car accident, HUGE cyst, etc), so they just finished it with an MMF... Thats just my experience though

From what I understnad MMF requires fixation via screws to the bone, so it would prob be an OMFS. I dont think IMF is anchored to the bone, right?

 

[bigbadaboom]

Is (as a result of trauma, not orthognathic surg) maxillary fixation strictly OMS? Is this within the scope of ortho to treat trauma? MMF is definitely a surgical procedure, but do any orthos do IMF?

ortho probably faint when they see blood.

just kidding

ortho have been placing implants for anchorage. i don't see maxillary fixation is out of scope of practice for ortho. they have the knowledge to do it it's a matter of availablility of patients. most trauma patients end up in the hospital where OMFS/ENT/Plastics take face calls. some GPR end up doing this too.

 

[SDM123]

It is clearly outside of the scope of practice for ortho to be treating mandible fractures according to the standards defined by the ADA
As a side note IMF and MMF refer to the same thing, IMF stands for inter-maxillary fixation which is named based on the antiquated term for the jaws where they were referred to as the upper and lower maxilla. MMF stands for mandibular-maxillary fixation, after the currently used naming system for the jaws.

 

[Bereno]

From what I understnad MMF requires fixation via screws to the bone, so it would prob be an OMFS. I dont think IMF is anchored to the bone, right?

From what I understand (note: my experience is limited) both IMF and MMF were used interchangeably (can someone correct me if wrong?). The MMF cases I have seen were all ivy loops or arch bars with no screws used.

EDIT: SDM123 beat me to it lol

 

[Sublimazing]

orthodontists are def. not wiring mandibular fractures and definitely not placing plates and screws

in my GPR i wired a few mandibular fractures with OMFS attendings...the first one was fun because it was novel...after that they get old really fast...especially when you're a neophyte and after you finish tightening there's too much wiggle and you gotta clip it

it's def. one of those things that all dentists should see or assist on a couple times though IMHO

 

[DrDDSman]

orthodontists are def. not wiring mandibular fractures and definitely not placing plates and screws

in my GPR i wired a few mandibular fractures with OMFS attendings...the first one was fun because it was novel...after that they get old really fast...especially when you're a neophyte and after you finish tightening there's too much wiggle and you gotta clip it

it's def. one of those things that all dentists should see or assist on a couple times though IMHO

Thanks. I know placing plates and screws would be out of ortho scope but wasnt sure about the arch bars. I do also think it would be good to see.

How much trauma did you guys see in clinic? Obviously not many GSWs, but things like accidents or fights where ENT/OMFS pass