Cranial Maxillofac Trauma Reconstruction
DOI: 10.1055/s-0038-1629906
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Use of Transgingival Lag Screw Osteosynthesis in the Management of Alveolar Process Fracture

Ashish Sharma
1  Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India
,
Sanjay Rastogi
1  Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India
,
Manish Shukla
1  Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India
,
Rupshikha Choudhury
2  Department of Oral and Maxillofacial Surgery, Regional Dental College, Guwahati, Assam, India
,
Siddhi Tripathi
3  Department of Prosthodontics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India
,
Jawed Iqbal
1  Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India
› Author Affiliations
Source of Funding None.
Further Information

Publication History

04 June 2017

17 September 2017

Publication Date:
15 February 2018 (eFirst)

Abstract

The purpose of this study is to check the efficacy of transgingival lag screw osteosynthesis in alveolar process fractures of maxilla and mandible. A single-arm nonrandomized observational study was performed for the treatment of alveolar process fractures of maxilla and mandible. In this study, 20 mixed age group patients with alveolar process fracture were included. All the patients were treated by a 2.0-mm transgingival screw fixation under local or general anesthesia. All the patients were evaluated for fracture stability, anatomical reduction, bone loss and bone resorption of alveolar process, tooth loss, and wound infection at 3 months of follow-up. A simple descriptive statistical analysis was done to evaluate the parameters and it was shown that the treatment of alveolar process fracture with two or three lag screws provides adequate fracture stability and anatomical reduction with no signs of bone loss and tooth loss, and wound infections were noted post lag screw fixation. The study concludes that transgingival lag screw fixation is a suitable alternative for alveolar process fractures in all the age groups and two to three lag screws are generally sufficient to fix fractured alveolar process either under local anesthesia or general anesthesia.

Authors' Contribution

Dr. Ashish Sharma:


• Analysis and interpretation of the data.


• Administrative, technical, or logistic support.


Dr. Sanjay Rastogi:


• Conception and design.


• Administrative, technical, or logistic support.


Dr. Manish Shukla:


• Data collection.


• Obtaining funding.


Dr. Rupshikha Choudhury:


• Writing the article.


• Literature search.


Dr. Siddhi Tripathi:


• Critical revision of the article.


Dr. Jawed Iqbal:


• Data collection.


• Obtaining funding.