The effect of screw size and insertion technique on the stability of the mandibular sagittal split osteotomy

Alan Schwimmer, Alex M. Greenberg, Fredrick Kummer, Ayfer Kaynar

Research output: Contribution to journalArticlepeer-review

30 Citations (Scopus)

Abstract

The effect of screw size and insertion technique on the stability of sagittal split osteotomies was evaluated on 10 cadaver mandibles. The mandibles were osteotomized, and stabilized with either 2.0- or 2.7-mm stainless steel screws inserted as lag screws or position screws. All specimens were tested on an MTS servohydraulic testing machine (MTS Systems, Inc, Minneapolis, MN) to determine the strength and stability of the fixation. There were no statistically significant differences between the strengths achieved with the different screw sizes or fixation techniques. The primary variable that determined stability seemed to be the quality of the underlying bone.

Original languageEnglish
Pages (from-to)45-48
Number of pages4
JournalJournal of Oral and Maxillofacial Surgery
Volume52
Issue number1
DOIs
Publication statusPublished - Jan 1994

Bibliographical note

Funding Information:
* Associate Director, Department of Dental Medicine. Beth Israel Medical Center; Associate Professor of Dentistry, Mount Sinai School of Medicine, New York, NY. t Assistant Clinical Professor, Division of Oral and Maxillofacial Surgery, Columbia University School of Dental and Oral Surgery: Clinical Instructor, Mount Sinai School of Medicine; Assistant Attending Department of Dental Medicine, Beth Israel Medical Center, New York, NY. $ Associate Director, Department of Bioengineering, Hospital for Joint Diseases, Orthopaedic Institute, New York, NY. Q Columbia University Visiting Research Fellow, School of Dentistry, University of Istanbul, Istanbul, Turkey. This work was supported by a grant from the ASIF (Swiss Association for Internal Fixation) Foundation. Address correspondence and reprint requests to Dr Schwimmer: Department of Dental Medicine, Beth Israel Medical Center, New York. NY 10003.

Funding

* Associate Director, Department of Dental Medicine. Beth Israel Medical Center; Associate Professor of Dentistry, Mount Sinai School of Medicine, New York, NY. t Assistant Clinical Professor, Division of Oral and Maxillofacial Surgery, Columbia University School of Dental and Oral Surgery: Clinical Instructor, Mount Sinai School of Medicine; Assistant Attending Department of Dental Medicine, Beth Israel Medical Center, New York, NY. $ Associate Director, Department of Bioengineering, Hospital for Joint Diseases, Orthopaedic Institute, New York, NY. Q Columbia University Visiting Research Fellow, School of Dentistry, University of Istanbul, Istanbul, Turkey. This work was supported by a grant from the ASIF (Swiss Association for Internal Fixation) Foundation. Address correspondence and reprint requests to Dr Schwimmer: Department of Dental Medicine, Beth Israel Medical Center, New York. NY 10003.

FundersFunder number
ASIF
Swiss Association for Internal Fixation) Foundation

    ASJC Scopus Subject Areas

    • Surgery
    • Oral Surgery
    • Otorhinolaryngology

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