Fixation of Open Alveolar Bone Fractures: Easily Applicable Method in the Emergency Department

ABSTRACT

PURPOSE: The purpose of this clinical trial was to evaluate the fixation method for treating alveolar fractures in an emergency department. METHODS: The efficiency of using the fixation method was judged on the basis of clinical criteria. Stability, occlusion state, bleeding amount after fixation, operation time, and difficulties during procedural operation were recorded. RESULTS: Eight patients were enrolled in this study. In all instances, the fixation method was effective in bleeding control. Each patient had a noticeable decrement in bleeding. A wire was used for four of the eight patients, and nylon strings was used for the others. The average operation time was 6.3 minutes for the wire patients and 2.8 minutes for the Nylon string patients. No specific problem was identified during the procedural operation. However, the difference in the fixation material influenced the effectiveness of the procedure, the operation time, and the satisfaction of the doctor. CONCLUSION: In the emergency department, the fixation method using wire or nylon string in the treatment of alveolar fractures is effective in bleeding control.