Bimaxillary splinting
A method of fixing both jaws in cases of multiple fractures to restore their anatomical integrity.
Fractures of the upper and lower jaw are categorised as serious injuries that require precise bone restoration. Such injuries often result in severe pain, malocclusion, bleeding, nerve damage and difficulty breathing. If the bone fragments are not fixed promptly, permanent deformities and functional disorders may develop.
Bimaxillary splinting is indicated for complex and multiple jaw fractures. This procedure involves the precise repositioning of both jaws, ensuring the immobility of bone fragments and facilitating bone fusion. This type of fixation is used for displaced injuries, and in cases where other stabilization methods cannot be applied.
Prior to splinting, the patient undergoes a clinical examination, X-ray, or CT scan of the maxillofacial region. A specialist will assess the type of fracture, the presence and condition of the teeth, and the general condition of the patient. In some cases, the removal of mobile teeth may be necessary. In emergency cases, splinting is performed instantly after diagnosis, and in routine cases, after a preliminary examination.
In cases where teeth remain immobile, they are reinforced with either metal or plastic splints that are fastened with wire. Without stable teeth, intraosseous or external fixation methods are used. Both jaws are then connected using elastic ties or wire hooks to prevent movement of the lower jaw and ensure complete immobilization. In some cases, a chin strap may be applied to provide additional support. The entire procedure takes 30 to 90 minutes.
We use orthopedic wire and plastic splints, elastic straps, surgical instruments for preparing bones and teeth, and X-ray equipment for monitoring the position of the fragments.
After splinting, the patient is prescribed a gentle liquid or blended diet, as the mouth remains closed until the splint is removed. The average fixation period is 3–6 weeks, based on the extent of the fracture and healing speed. Following the removal of the splint, a comprehensive rehabilitation program is initiated, encompassing physiotherapy, massage therapy, and targeted exercises, aimed at restoring optimal jaw mobility. Full recovery can take up to 2–3 months.
Benefits
Effective stabilization
Reliable fixation of both jaws ensures proper bone fusion.
Bite function preservation
Helps restore the anatomical position of the jaws and bite.
Teeth loss adaption
Can be used with external or internal fixation in cases of complete tooth loss.
High durability
High-quality materials ensure stability even in severely displaced fractures.
Врачи
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Maxillofacial surgeon. Candidate of Medical Sciences.
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