Mechanical and microstructural properties of fixation systems used in oral and maxillofacial surgery

Oral Maxillofac Surg. 2016 Mar;20(1):85-90. doi: 10.1007/s10006-015-0532-3. Epub 2015 Nov 13.

Abstract

Objectives: This paper aims to evaluate in vitro the mechanical and microstructural properties of internal fixation systems used in oral and maxillofacial surgeries.

Materials and methods: Four brands of internal fixation systems (screws and 4-hole straight plates) were selected and assigned to four groups: G1 Leibinger®, G2 Tóride®, G3 Engimplan®, and G4 Medartis®. The systems were submitted to Vickers hardness testing, metallographic and interstitial elements chemical composition analyses. Data were submitted to ANOVA and Tukey's test for statistical analysis.

Results: Plates in groups 1, 2, and 3 showed similar microstructure and mechanical properties, different from those in G4 revealing larger grains. In all groups, the screws showed similar microstructure, with uniform arrangement and size of grains; the screws showed higher hardness values than those observed for the plates.

Conclusions: The results indicate that all materials tested are adequate for use in oral maxillofacial surgeries.

Keywords: Chemical composition; Metallography; Stable internal fixation; Vickers hardness.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Plates*
  • Bone Screws*
  • Fracture Fixation, Internal / instrumentation*
  • Hardness Tests*
  • Humans
  • In Vitro Techniques
  • Materials Testing*
  • Nitrogen / analysis
  • Optical Imaging
  • Oral Surgical Procedures / instrumentation*
  • Oxygen / analysis

Substances

  • Nitrogen
  • Oxygen