07 mandible, means of imf, imp vs hand holding

means of imf

1. In the name of Allah, The Most In the name of Allah, The Most CompassionateCompassionate, ,
The Most MercifulThe Most Merciful

2. Reduction techniques for
mandibular fractures: Current
means of obtaining occlusion:
IMF vs. hand-holding
Muhammad Azhar Sheikh
MSc. (Lond), FDSRCS (Eng), FFDRCS (Ire)
FDS Oral Surg (UK)
Prof: Oral and Maxillofacial Surgeon
Islamic International Dental College, Isb

3. Trauma is the major cause of death
in children and young adults

4. Anatomic distribution

5. Desired Outcome
•Function
= Occlusion
•Aesthetics

6. Clinical Examination

8. Investigations

12. IMF techniques

13. Leonard buttons

14. Intra Oral Cortical Bone screws

15. Intra oral cortical bone
screws

16. Rapid IMPF (Anchorage ties
and Power Chain)

17. Rapid IMF

18. Rapid IMF (Anchorage Ties)
•Rapid – save about 40% time
compare to eyelet IMF
•More tooth related complications
like crown dislodgement

21. Lag Screw – IMF?

22. Hand held technique
•Quick - half time compare to IMF
•No gadgetry of IMF
•No risk of wire injury
•Cheap
•Short anaesthesia & stay
•Less complications (Systemic & Local)
•Similar outcome of occlusion

23. Hand held technique
•Operator sensitive
•Experience & Skill required
•Competent assistant
•Relatively early Fracture

24. Summery – ORIF mandible
•Most cases can be done with
hand held technique with its
advantages
•IMF while plating is necessary
in complicated cases
•No compromise on occlusion