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The use of a bite fork to help mobilize the maxilla after downfracture during the Le Fort I osteotomy. A technical note

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Abstract

Introduction

The Le Fort I osteotomy is indicated to reposition the maxilla in the surgical correction of dentofacial deformities. Although it is a known surgical step, like any surgical procedure, it can have complications and difficulties; among these, the initial mobility of the jaw is very common after completing all corticotomies.

Methods

The authors present a technique in which the bite fork is used as an auxiliary tool in maxilla downfracture, especially in cases of maxillary impaction where vertical space is created on the walls of the corticotomy.

Findings

As the bite fork acts as a scraper with a long leverage arm, an advantage would be the better distribution of forces along the corticotomy, minimizing the risk of bad fracture and facilitating maxillary downfracture movement.

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References

  1. Wolford LM, Stevao ELL (1999) A modified leverage technique to simply the Le Fort I downfracture. J Oral Maxillofac Surg 62:112–114

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  2. Epker BN, Wolford LM (1980) Dentofacial deformities. Mosby, St Louis, MO, pp 274–277

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Oral and Maxillofacial Surgery Group, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627 Vicky and Joseph Safra Pavilion A1, office 119, 05652-900, Sao Paulo, Brazil

    Elio Hitoshi Shinohara & Shajadi Carlos Pardo Kaba

  2. Oral and Maxillofacial Surgery Branch, Araçatuba Dental School, UNESP, Araçatuba, SP, Brazil

    Elio Hitoshi Shinohara

  3. Dental and Medical School, UNINOVE, São Paulo, SP, Brazil

    Elio Hitoshi Shinohara

  4. Oral Diagnosis Program, Dental School, Universidade de São Paulo, São Paulo, Brazil

    Shajadi Carlos Pardo Kaba, Marcelo Martinson Ruiz & Fernando Kendi Horikawa

  5. Air Force Station, Hospital da Aeronáutica de São Paulo, São Paulo, Brazil

    Marcelo Martinson Ruiz

  6. Oral and Maxillofacial Surgery Department, Hospital Regional de Osasco SUS/SP, São Paulo, Brazil

    Fernando Kendi Horikawa

Authors
  1. Elio Hitoshi Shinohara
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  2. Shajadi Carlos Pardo Kaba
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  3. Marcelo Martinson Ruiz
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  4. Fernando Kendi Horikawa
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Corresponding author

Correspondence to Elio Hitoshi Shinohara.

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Shinohara, E.H., Kaba, S.C.P., Ruiz, M.M. et al. The use of a bite fork to help mobilize the maxilla after downfracture during the Le Fort I osteotomy. A technical note. Oral Maxillofac Surg 18, 311–312 (2014). https://doi.org/10.1007/s10006-013-0417-2

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  • DOI: https://doi.org/10.1007/s10006-013-0417-2

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