Mechanical Evaluation of Different Stable Internal Fixation Techniques of Sagittal Osteotomy in Mandibular Advance

2023 • Volume 17 • Issue 3

Ana Julia Coral; José Lopes de Oliveira Neto & Lucas Cavalieri Pereira



The mandibular advancements performed in orthognathic surgeries can be stabilized with several techniques when using stable internal fixation. This study aims to comparatively evaluate, in vitro, the mechanical strength in a polyurethane mandibular model for four fixation techniques for sagittal split ramus osteotomy mandibular. 60 samples were divided into 4 groups, with 15 units for each group: group A, group B, group C and group D. Advances of 5 mm were made for each subgroup and fixed with 2.0 mm system plates and monocortical screws in the replicas of human hemimandibles in polyurethane resin. The samples were submitted to mechanical tests of linear loading, being evaluated the peak load and peak deformation. Technique B presented higher peak load (Kgf) and techniques A and B presented higher peak strain (p<0.05). Technique D presented lower peak load and lower peak strain (p<0.05). It is concluded that the study based on the development of new techniques for fixation for sagittal osteotomy of the mandibular ramus is of great importance for the advancement of orthognathic surgery, provided by the technical innovation of more favorable plate models.

KEY WORDS: Mandible, orthognatic surgery, osteotomy sagittal split ramus.


How to cite this article

CORAL, A. J.; OLIVEIRA NETO, J. L. & CAVALIERI-PEREIRA, L. Mechanical evaluation of different stable internal fixation techniques of sagittal osteotomy in mandibular advance. Int. J. Odontostomat., 17(3):327-334, 2023.


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