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Letter to the Editor| Volume 58, ISSUE 2, P244-245, February 2020

Use of polydioxanone suture to secure the final occlusal wafer in orthognathic surgery

  • S.-H. Kang
    Correspondence
    Corresponding author at: Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsan-donggu, Goyang, Gyeonggi-do 10444, Republic of Korea. Tel.: +82-31-900-0267; Fax: +82-303-3448-7139.
    Affiliations
    Department of Oral and Maxillofacial Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea

    Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Republic of Korea
    Search for articles by this author
Published:January 02, 2020DOI:https://doi.org/10.1016/j.bjoms.2019.12.005
      In orthognathic surgery, an occlusal splint is used to position the maxilla and mandible correctly into the planned postoperative occlusion.
      • Dreiseidler T.
      • Ritter L.
      • Zirk M.
      • et al.
      Distance-dependent accuracy in Le Fort I maxillary repositioning procedures.
      An occlusion wafer is secured during orthognathic surgery, and in cases of intraoral vertical ramus osteotomy in the mandible, it must remain in place for weeks postoperatively. In general, the occlusion wafer is fixed on to the maxillary teeth, and a wire is used to hold it in place.
      • Abdelrahman A.
      • Johnston C.
      • Earl P.
      • et al.
      A novel technique to secure the occlusal wafer during orthognathic surgery.
      The postoperative wafer is fixed on to multiple maxillary teeth to maintain the planned postoperative dental occlusion. The current method of fixation is used only for the postoperative wafers.
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      References

        • Dreiseidler T.
        • Ritter L.
        • Zirk M.
        • et al.
        Distance-dependent accuracy in Le Fort I maxillary repositioning procedures.
        Br J Oral Maxillofac Surg. 2017; 55: 815-821
        • Abdelrahman A.
        • Johnston C.
        • Earl P.
        • et al.
        A novel technique to secure the occlusal wafer during orthognathic surgery.
        Br J Oral Maxillofac Surg. 2010; 48: 389-390
        • Carlton J.E.
        • Dodson T.B.
        • Cleveland J.L.
        • et al.
        Percutaneous injuries during oral and maxillofacial surgery procedures.
        J Oral Maxillofac Surg. 1997; 55: 553-557