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Abstract
Objectives. The objectives of this study were to analyze outcomes with miniplates in orthognathic surgery and define risk factors resulting in plate removal. Study design. Clinical files of 570 orthognathic surgery patients operated between 2004 and 2009 were reviewed: 203 had a bimaxillary operation, 310 a lower jaw osteotomy, and 57 an upper jaw osteotomy. Age, sex, and jaw movement were analyzed. Reasons for hardware removal were recorded. Results. Hardware was removed in 157 patients (27.5%). Seventy-eight patients (13.7%) needed removal because of plate-related infection; 66 (11.6%) because of clinical irritation; 5 (0.9%) for dental implant placement; and 8 (1.4%) for other reasons. Average time between operation and removal was 9.9 months. More women (31.7%) than men (20.3%) had plates removed, but age was not a factor except with infection. Conclusions. More than a quarter of patients developed complications from plates and screws, necessitating their removal, and infection occurred in 13.7%. Prompt removal constituted adequate management.
Keywords
I OSTEOTOMY, MINIPLATE, FACIAL FRACTURES, MANDIBULAR ANGLE FRACTURES, SAGITTAL SPLIT OSTEOTOMY, FIXATION, SCREWS

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Citation

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Chicago
Falter, Bart, Serge Schepers, Luc Vrielinck, Ivo Lambrichts, and Constantinus Politis. 2011. “Plate Removal Following Orthognathic Surgery.” Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology 112 (6): 737–743.
APA
Falter, B., Schepers, S., Vrielinck, L., Lambrichts, I., & Politis, C. (2011). Plate removal following orthognathic surgery. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY, 112(6), 737–743.
Vancouver
1.
Falter B, Schepers S, Vrielinck L, Lambrichts I, Politis C. Plate removal following orthognathic surgery. ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY. 2011;112(6):737–43.
MLA
Falter, Bart, Serge Schepers, Luc Vrielinck, et al. “Plate Removal Following Orthognathic Surgery.” ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY 112.6 (2011): 737–743. Print.
@article{1201714,
  abstract     = {Objectives. The objectives of this study were to analyze outcomes with miniplates in orthognathic surgery and define risk factors resulting in plate removal. 
Study design. Clinical files of 570 orthognathic surgery patients operated between 2004 and 2009 were reviewed: 203 had a bimaxillary operation, 310 a lower jaw osteotomy, and 57 an upper jaw osteotomy. Age, sex, and jaw movement were analyzed. Reasons for hardware removal were recorded. 
Results. Hardware was removed in 157 patients (27.5\%). Seventy-eight patients (13.7\%) needed removal because of plate-related infection; 66 (11.6\%) because of clinical irritation; 5 (0.9\%) for dental implant placement; and 8 (1.4\%) for other reasons. Average time between operation and removal was 9.9 months. More women (31.7\%) than men (20.3\%) had plates removed, but age was not a factor except with infection. 
Conclusions. More than a quarter of patients developed complications from plates and screws, necessitating their removal, and infection occurred in 13.7\%. Prompt removal constituted adequate management.},
  author       = {Falter, Bart and Schepers, Serge and Vrielinck, Luc  and Lambrichts, Ivo and Politis, Constantinus},
  issn         = {1079-2104},
  journal      = {ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY},
  keyword      = {I OSTEOTOMY,MINIPLATE,FACIAL FRACTURES,MANDIBULAR ANGLE FRACTURES,SAGITTAL SPLIT OSTEOTOMY,FIXATION,SCREWS},
  language     = {eng},
  number       = {6},
  pages        = {737--743},
  title        = {Plate removal following orthognathic surgery},
  url          = {http://dx.doi.org/10.1016/j.tripleo.2011.01.011},
  volume       = {112},
  year         = {2011},
}

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