Plating Systems in

Maxillofacial Trauma
 Fracture
Mandible
• Pain, deformity,

cc
TMJ disorder,
Trauma malocclusion

High pressure to the Maxilla

partial bone
• Discontinuity of
Pathology facial butressess
Osteoporosis,
Osteogenesis
imperfecta
 Reduction Fixation Immobilisation

• Reposition of
fragment fracture
• Stabilitation of
to the anatomical • The recommended
fragment fracture
position time for adults is 6
• Convensional dan
• Closed and Open weeks
advancement
reduction
technique
Bone healing
 Madibula Fixation System
Locking Reconstruction Plate –
Surgical technique
 • Indicates for trauma or
reconstruction applications
• 2.4 mm and 3.0 mm locking
screws or standard 2.4 mm
screw
• Pure titanium for
biocompability

Locking reconstruction
plate
 Indication
Mandible trauma and reconstruction procedure
Clinical Uses

• Primary mandibular reconstruction (with bone graft) • Comminuted fracture

• Temporary bridging with delayed secondary
reconstruction
Locking screw Locking Reconstruction plate
 Techinque
Reconstruction and
Trauma Indication
 Exposure Select the template
Expose the fracture or area to be resected Appropriate length  4 holes per segment
 Select the implant
Appropriate plate, cut to the length
Determine the appropriate screw type and diameter
Contour the plate Position the plate
 Drilled the first hole Insert the screw
Measure screw length
 Replace the implants
Position the plate back onto the mandible in the exact position
Drill and place the remaining screw Reinsert eache predetermined locking screw
*Plates may be used to temporarily bridge continuity defects
without bone graft, but only with pending secondary
reconstruction
Reconstruction complete
 MatrixMandible
Preformed
Reconstruction Plates
Indication
Expose and reduce mandible
Surgical technique

If the posterior border of the vertical mandibular

If the vertical ramus portion of the sizer id posterior
ramus and the corresponding region of the sizer are
to the posterior border of mandible  small plate
correcty aligned  medium plate and mending
and bending template
template
If the vertical ramus portion of the sizer lies distal to
the posterior border of the mandibular ramus 
large plate and bending template
Select and form bending template
 Cut plate
Cut the last holes of the posterior vertical portion of the plate to match the length of the ramus
Contour the plate
Position plate Drill the first hole
 Universal drill guide
Drill bits with mini quick coupling

Threaded drill guides

Drill guides are color-coded to match the relevant Cannula and obturator
screw size
 Determine screw length
If biocortical purchase is desired, choose a screw
length 2 mm longer Insert screw
Drill and place remaining screw
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=CMF&segment=Mandible&showPage=A&contentUrl=srg/popup/addi
tional_material/91/X30_plate_bending.jsp
thankyou