History of BSSO: before fixation plates

[Lookologist003]

What was bro doing in 1957?

Postoperative fixation of bone fragments after osteotomy was once a major challenge for surgeons. Initially, separated fragments were not fixed and healing after osteotomy was achieved simply via intermaxillary splinting of teeth together for several weeks.

A major breakthrough came with the development of stable compression osteosynthesis, which was introduced in 1974 by B. Spiessl from Switzerland and consecutively replaced osteosynthesis by wire fixation or intermaxillary fixation. Spiessl used steel plates and screws to keep the fragments of the mandible in a fixed position. The degree of immediate postoperative stability achieved with this technique turned out to completely obviate the need for intermaxillary fixation.

You mean it took 17 years for anybody to think of screwing things into place?

SAGITTAL SPLIT OSTEOTOMY

Visit the post for more.

pocketdentistry.com

What in god's name. Imagine that you could make your jaw do the hokey pokey after your surgery. No plates is crazy.

@RealSurgerymax
@yussimania
@Acquiescence
@compost_

 

[yussimania]

Bruh check what I DMd you been waiting for your response

 

[compost_]

I would assume just cuz of infection which I suppose makes sense

But that’s still crazy lol

Wonder how many none union issues there were

 

[Eshtef]

What was bro doing in 1957?




You mean it took 17 years for anybody to think of screwing things into place?

SAGITTAL SPLIT OSTEOTOMY

Visit the post for more.

pocketdentistry.com

What in god's name. Imagine that you could make your jaw do the hokey pokey after your surgery. No plates is crazy.

@RealSurgerymax
@yussimania
@Acquiescence
@compost_

why did it take so long for them to realise they could use plates??

 

[Animepilled]

i mean they fixed broken jaws in ancient times. it was thousands of years without screws and plates

 

[Lookologist003]

i mean they fixed broken jaws in ancient times

Did they?

 

[imontheloose]

Did they?

fixed is a bit of a stretch, but they could reduce the harm at times (not anything comparatively boastful)

 

[RealSurgerymax]

What was bro doing in 1957?




You mean it took 17 years for anybody to think of screwing things into place?

SAGITTAL SPLIT OSTEOTOMY

Visit the post for more.

pocketdentistry.com

What in god's name. Imagine that you could make your jaw do the hokey pokey after your surgery. No plates is crazy.

@RealSurgerymax
@yussimania
@Acquiescence
@compost_

Titanium Mini screws started much larger (too big)

It takes a special lathe to make titanium bone screws so that had to be developed.