Infection Clinical Trial
Official title:
Prospective Study: Complications From the Use of Calcium Phosphate Paste in Mandibular Lengthening Osteotomies
The goal of this study is to determine if the use of calcium phosphate paste in mandibular
lengthening surgery causes more complications as surgical site infections and hardware
removal.
An evaluation will be made to determine if the benefits of the use of the paste
(3D-stability, prevention of early relapse and unaesthetic indentation) outweighs the
disadvantages.
The sagittal split osteotomy (SSO) is commonly used to correct dentofacial discrepancies.
Correction of distocclusion can be achieved through lengthening of the mandible, and a
balanced facial appearance can be obtained by increasing chin projection.
Calcium phosphate paste is used in mandibular lengthening surgery to avoid an unaesthetic
notching at the lower border(1)(2) and to help stabilize the segments when osteosynthesis
slippage is feared for. A recently performed retrospective study showed an increase of
infectious complications when calcium phosphate paste was used for this indications. Several
precautions were identified that could be undertaken to decrease the infectious
complications. The study concluded that a prospective study was required in which these
precautions were implemented to determine whether infectious complications can be reduced.
The aim of this study is to investigate whether the hardened paste still increases the
incidence of site infections after implementation of several precautions and the use of a
standardized antibiotic prophylactic protocol.
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