Dentistry

doi: 10.25005/2074-0581-2021-23-1-53-59
TITANIUM CLAMPS WITH MODIFIED SURFACE AND THEIR APPLICATION FOR MANDIBLE OSTEOSYNTHESIS

A.I. Yaryomenko1, K.I. Starkovskiy1,2, A.L. Rubezhov2,3

1Department of Dentistry and Maxillofacial Surgery, Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russian Federation
2Dental Clinic № 9, Saint Petersburg, Russian Federation
3Department of Dentistry of General Practice, Mechnikov North-West State Medical University, Saint Petersburg, Russian Federation

Objective: To develop titanium clamps with a biologically modified surface, and estimate its biocompatibility and probability of its application in clinical practice for patients with mandibular fractures.

Methods: The experimental research was conducted on laboratory animals, as well as in treatment of 14 patients with mandibular fractures, to study biocompatibility of the designed titanium clamps. All the patients underwent osteosynthesis of the lower jaw with the application of the designed titanium clamps with a biologically modified surface.

Results: It has been revealed that the all-cast titanium clamps with the laser-processed surface most optimally meet the requirements imposed to the materials applied to mandible metalosteosynthesis.

Conclusion: The application of the designed titanium clamps with a biologically modified surface allows accurately fix and hold lower jaw fractures in the exact physiological position until final consolidation.

Keywords: Biocompatibility, miniplate, mandible, osteointegration, osteosynthesis, polymeric covering, titanium clamp.

Download file:


References
  1. Levenets AA, Gorbach NA, Fokas NN. Chelyustno-litsevoy travmatizm kak sotsialnaya, ekonomicheskaya i medicinskaya problema [Maxillofacial injuries as a social, economic and medical problem]. Sibirskoe meditsinskoe obozrenie. 2013;80(2):13-8
  2. Lepilin AV, Bakhteeva GR, Nozdrachyov VG. Kliniko-statisticheskiy analiz travmaticheskikh povrezhdeniy chelyustno-litsevoy oblasti i ikh oslozhneniy po materialam raboty otdeleniya chelyustno-litsevoi khirurgii za 2008-2012 gg. [Clinical and statistical analysis of traumatic injuries of the maxillofacial region and their complications based on the materials of the Department of Maxillofacial Surgery for 2008-2012]. Saratovskiy nauchno-meditsinkiy zhurnal. 2013;9(3):425-8.
  3. Samutkina MG. Analiz sovremennoy epidemiologicheskoy kartiny perelomov nizhney chelyusti (po materialam kliniki chelyustno-litsevoy khirurgii Samarskogo gosudarstvennogo meditsinskogo universiteta) [Analysis of the current epidemiological picture of mandibular fractures (based on the materials of the maxillofacial surgery clinic of the Samara State Medical University)]. Vrach-aspirant. 2013;60(5.3):451-7.
  4. Alpert B, Engelstad M, Kushner GM. Invited review: small versus large plate fixation of mandibular fractures. Journal Craniomaxillofacial Trauma. 2013;3(5):33-9.
  5. Sidelnikov AI. Sravnitel’naya kharakteristika materialov gruppy titana, ispol‘ zuemykh v proizvodstve sovremennykh dental’nykh implantatov [Comparative characteristics of titanium group materials used in the production of modern dental implants]. Info-Dent. 2000;5:10-2.
  6. Bayrikov IM, Imbryakov KV, Saveliev AL, Samutkina MG, Fisher II. Reabilitatsiya bol’nykh s travmaticheskoy bolezn’yu pri perelomakh nizhney chelyusti [Reabilitation of patients with traumatic disease in case of mandibular fractures]. Vestnik Rossiyskoy voenno-meditsinskoy akademii. 2011;1:65-6.
  7. Omarbaev TZ, Kozhakhmetov OA, Mysaev AO. Istoriya razvitiya plastin dlya nakostnogo osteosinteza [The history of the development of plates for bone osteosynthesis]. Nauka i zdravookhranenie. 2012;2:70-3.
  8. Kupp LI. Poverkhnosti implantatov i kosteobrazovanie [Implant surfaces and bone formation]. Novoe v stomatologii. 2001;9:85-7.
  9. Cook SD, Dalton JE. Biocompatiblity and biofunctionality of implanted materials. Journal Alpha Omega. 2017;85(4):41-7.
  10. Safarov SA, Shcherbovskikh AE, Petrov YuV, Bayrikov IM. Kliniko-funktsional’noe obosnovanie ispol’zovaniya vnutrikostnykh fiksatorov, pokrytykh kompozitsionnymi materialami, dlya osteosinteza perelomov nizhney chelyusti [Clinical and functional rationale for the use of intraosseous fixators covered with composite materials for osteosynthesis of mandibular fractures]. Kazanskiy meditsinskiy zhurnal. 2014;95(2):219-23.
  11. Korotkikh NG, Bugrimov DYu, Larina OE, Stepanov IV, Stanislav IN. Primenenie titanovykh konstruktsiy s nanostrukturnym biopokrytiem v kompleksnom lechenii perelomov nizhney chelyusti [The use of titanium structures with nanostructured biocoating in the complex treatment of mandibular fractures]. Rossiyskiy stomatologicheskiy zhurnal. 2012;3:16-8
  12. Khasanov RA, Dobzhanskiy AV, Batyrshin IA. Opyt primeneniya kortikal’nykh fiksiruyushchikh vintov v lechenii perelomov nizhney chelyusti [Experience in the use of cortical fixing screws in the treatment of mandibular fractures]. Meditsinskiy vestnik Bashkortostana. 2013;6:202-3.
  13. Malanchuk VA, Astapenko EA. O tselesoobraznosti primeneniya biorezorbiruemykh fiksatorov dlya osteosinteza pri perelomakh nizhney chelyusti [On the feasibility of using bioresorbable fixators for osteosynthesis in mandibular fractures]. Vіsnik problem bіologіi і meditsini. 2013;2:168-71.
  14. Solovyov MM, Krivolutskaya EG, Matina VN, Dunaevskaya NA, Karpishchenko SA, Lavrenova GV, i dr. Plyonkoobrazuyushchee antisepticheskoe sredstvo dlya lecheniya gnoyno-vospalitel’nykh zabolevaniy chelyustno-litsevoy oblasti [Film-forming antiseptic for the treatment of purulent-inflammatory diseases of the maxillofacial region]. Patent Rossiyskoy Federatsii № 2410092. 08.09.2009
  15. Yaryomenko AI, Karpishchenko SA, Avkhutskaya GS, Lavrenova GV, Matina VN, Kravtsova IA, i dr. Farmakologicheskaya antimikrobnaya kompozitsiya prolongirovannogo deystviya [Pharmacological antimicrobial composition of prolonged action]. Patent Rossiyskoy Federatsii № 2463066. 19.08.2011.

Author information:

Yaryomenko Andrey Ilyich
Doctor of Medical Sciences, Full Professor, Head of the Department of Dentistry and Maxillofacial Surgery, Pavlov First Saint Petersburg State Medical University
Researcher ID: Q-6840-2018
Scopus ID: 57192215862
ORCID ID: 0000-0002-7700-7724
SPIN-код: 7903-8540
Author ID: 94972
E-mail: ayaremenko@me.com

Starkovskiy Konstantin Igorevich
Deputy Chief Physician for Medical Affairs, Dental Clinic № 9; Postgraduate Student of the Department of Dentistry and Maxillofacial Surgery, Pavlov First Saint Petersburg State Medical University
ORCID ID: 0000-0002-0210-0553
SPIN-код: 4364-7868
Author ID: 1093251
E-mail: persicorum@mail.ru

Rubezhov Aleksandr Leonidovich
Chief Physician Dental Clinic № 9; Associate Professor of the Department of Dentistry of General Practice, Mechnikov North-West State Medical University
Researcher ID: O-3929-2015
ORCID ID: 0000-0002-0227-7869
SPIN-код: 6291-5135
Author ID: 422976
E-mail: rubezhov68@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflict of interest: No conflict

Address for correspondence:

Starkovskiy Konstantin Igorevich
Deputy Chief Physician for Medical Affairs, Dental Clinic № 9; Postgraduate Student of the Department of Dentistry and Maxillofacial Surgery, Pavlov First Saint Petersburg State Medical University

191028, Russian Federation, Saint-Petersburg, Сhaykovskogo Str., 27

Tel.: +7 (906) 2569188

E-mail: persicorum@mail.ru

Materials on the topic: