Bloqueio Maxilomandibular: uma Revisão da Literatura

Abstract

Introduction: Maxillomandibular Fixation is a set of techniques used to promote immobilization between maxillary and mandibular dental arches, used to aid in the treatment of bone fractures or correction of bone repositioning of the maxillofacial complex. Objective: To compare the ways of promoting the maxillomandibular fixation, assessing its indications, contraindications, advantages, disadvantages and feasibility. Methods: Qualitative research paper that was based on articles from periodicals indexed in the U.S. National Library of Medicine (PubMed / MEDLINE), using the descriptors: intermaxillary fixation, mandibular fracture, arch bar, embrasure wire. Results: 63 complete articles, of which 21 were used as appropriate scientific basis for this theme, obeying the inclusion and exclusion criteria. Of these, 8 treat as central themes the arch bars to promote the maxillomandibular block, 8 treat as the central theme the use of intermaxillary fixation screws and 4 treat the embrasure wires to promote fixation. Conclusion: Among the existing techniques and methods of fixation maxillomandibular, it was not possible to identify assertively the one that stands out among all the presented ones, being indicated to determine the best form of Maxillomandibular Fixation for each patient.