[Reimplantation of posterior teeth to prevent premature loss of teeth].
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Biomedical subjects
Publications and source records attributed to A Erle.
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The portion of individuals with mandibular refractures in traumatized patients is but small. During a period of more than 10 years, 16 male patients presented once more with a mandibular fracture. In five of these patients, the mandibular fracture was a true refracture. Apart from problems by which experts are confronted in such cases, special attention is given to the epileptic who is at risk of trauma.
Fractures in the frontal region of the mandible may be treated by intra-ossal splinting without the risk of injuring nerves or vessels. Function-stable fixation of the reposited fragments was achieved in 15 patients by means of a transfragmental screw with metric thread. The advantages of this procedure consist in the easy removability of the material and the superfluidity of new developments of material or instruments. As the possibility of early functional treatment prevents the late impairment of the articular function, this procedure is particularly indicated in case of concurrent paramedian and articular fractures.
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Any schematism in choosing an operating technique is inappropriate in the surgical treatment of anomalies alone. This is all the more true in case of concomitant facial bone fractures which require all sorts of combinations and variations of the known procedures. None of the 13 patients who had presented during the years 1969-1973 with a maxillofacial fracture and an anomaly was subjected to the same kind of operation (with regard to osteotomy and ostectomy). An asymmetrical approach had to be adopted in almost any case to accomodate to the precautions required in the surgical treatment of the anomaly as well as to the demands on fracture management.