In general, maxillary splints are anchored in the teeth and the alveolar ridges. The amount of retention depends on the security and the method of attachment used, while the position and existence of teeth relative to the fracture determine the type of splint to be employed in a given case. When an injury includes the partial or total loss of teeth, or renders the existing teeth unavailable as a means of anchorage, fixation of the fragments is gained (1) by the adaptation of the splints entirely to the alveolar ridges, (2) by external appliances which acquire their support from the cranial bones, or (3) by sutures through the maxillary bones, either alone or in combination with certain appliances.
It may be necessary in the treatment of a case to use any one or all of the foregoing methods to effect the immobilization of the maxillary fragments.
In the event of
KAZANJIAN VH. PROSTHETIC APPLIANCES IN SURGICAL TREATMENT OF WOUNDS OF THE FACE AND JAWS. JAMA. 1919;73(17):1265–1271. doi:10.1001/jama.1919.02610430013006
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