COMPARATIVE EVALUATION OF TITANIUM AND BIORESORBABLE FIXATION IN LEFORT I OSTEOTOMY: A RANDOMIZED CLINICAL STUDY
Abstract
ANNOTATION
LeFort I osteotomy is a widely used surgical procedure for correcting maxillary
deformities. Stable fixation is essential for maintaining postoperative skeletal
positioning. Titanium plates provide excellent mechanical strength but remain
permanently in the facial tissues and often require removal. Bioresorbable plates were
developed to avoid long-term hardware retention, although concerns remain regarding
their initial stability. This study compares titanium and bioresorbable fixation systems
in patients undergoing LeFort I osteotomy. Clinical and radiographic evaluations were
conducted to assess skeletal stability, postoperative comfort, and complications. The
findings show that titanium fixation offers superior early stability, while bioresorbable
fixation improves patient comfort and eliminates the need for secondary removal.
Long-term skeletal stability was comparable in both groups, indicating that both
systems are effective and should be chosen based on patient needs and surgeon
preference.
References
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