Immediate mechanical stability of sagittal split ramus osteotomy fixed with resorbable compared with titanium bicortical screws in mandibles of sheep

Br J Oral Maxillofac Surg. 2006 Dec;44(6):534-7. doi: 10.1016/j.bjoms.2005.11.020. Epub 2006 Jan 19.

Abstract

Ten fresh mandibles from adult sheep were stripped of all soft tissues and sectioned in the midline. We did sagittal split osteotomies and 5 mm advancement on all the 20 hemimandibles. Ten hemimandibles were fixed with three 2.0 mm x 13 mm titanium bicortical screws, and the other 10 were fixed with three 2.0 mm x 13 mm poly-l-lactic acid/polyglycolic acid (PLLA/PGA) bicortical screws in an inverted L pattern. All the hemimandibles were then mounted in a servohydraulic testing unit and tested to permanent deformation. Maximum forces that the mandibles resisted before breaking, maximum displacements, and the displacement values under 20, 60, 120, and 150 N were compared using the Mann-Whitney U-test. There were no significant differences in stability between the bones fixed with titanium and those fixed with resorbable screws.

Publication types

  • Comparative Study

MeSH terms

  • Absorbable Implants*
  • Animals
  • Biocompatible Materials / chemistry
  • Bone Screws*
  • Elasticity
  • Lactic Acid / chemistry
  • Mandible / surgery*
  • Mandibular Advancement / instrumentation
  • Mandibular Advancement / methods
  • Osteotomy / instrumentation
  • Osteotomy / methods*
  • Pliability
  • Polyglycolic Acid / chemistry
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Polymers / chemistry
  • Sheep
  • Stress, Mechanical
  • Titanium* / chemistry

Substances

  • Biocompatible Materials
  • Polymers
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Polyglycolic Acid
  • Lactic Acid
  • Titanium