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UW-Madison BME 200 - Maxillomandibul ar Fixation

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Maxillomandibular FixationOur TeamClientAdvisorBackground InformationJaw ForcesProblem StatementMotivation for ProjectOur Client’s RequirementsApplicationMaterials and CostsEvaluationFuture WorkReferencesMaxillomandibular Fixation “The Jaw-Dropping Experience of a Lifetime”Our TeamFrom left to right…Emily Maslonkowski (BSAC)Ashley Phillips (Co-Team Leader) Nina Lewis (Co-Team Leader)Sara Karle (BWIG)Joe Ferris (Communications)ClientJeremy Warner, MDPlastic Surgery, UW Medical SchoolAdvisorWilliam MurphyAssistant Professor, Department of Biomedical EngineeringBackground InformationMandible is the second most fractured bone of the faceCommon causes of fractured mandibles1. Assault2. Motor vehicle accidents3. Falls4. Sporting accidents3 steps in fixing a mandible: realign bones, fixation, and rehabilitationJaw Forces 3 main muscles in mastication Masseter Temporalis PterygoidFigure 1Figure 2Figure 3Problem StatementDesign a device which will: Fixate the top of the mouth to the jaw Be easier and faster to apply Maintain an adequate cost of application Be safe for the 4-6 weeks of healingMotivation for ProjectSurgeons throughout history have dealt with broken mandibles in many waysMaxillomandibular fixation is outdatedrequires wiring the mouth shut with the use of arch bars and wiresOur Client’s RequirementsCost effectiveDynamicEmergency releasePatient comfortNo forces on front teethTime effectiveSafeApplication•Apply brackets with thelight cured adhesive• Connect brackets diagonally with rubber bands• Application time: 10-20 minutes Figure 1Materials and Costs 8-16 stainless steel brackets 6 mm x 2 mm x 2.5 mm hook length: 2.5 mm 4-8 3M Unitek rubber bands GC Fuji Ortho adhesiveEstimated Cost…$60 per applicationEvaluationProsQuick releaseShort application timeNo anesthesia necessaryAesthetically pleasingCons Bracket detachmentFuture WorkUpgrading the bracketsBiomimetic mussel adhesiveTesting with light cured adhesive on a human subjectImplement our design nationwideReferencesGoldman, Kim E. "Mandible Fractures." Ask An Oral & Maxillofacial Surgeon. 2005. 8 Sept. 2005 <http://www.calweb.com/~goldman/mandible_fractures.html>. "Muscles of Mastication: Form dictates function; Function follows form." Nociceptive Trigeminal Inhibition - Tension Suppression System. 15 Sept. 2005 <http://www.nti-tss.com/slide1.htm>. Peltier, Jacques, comp. Mandible Fractures. 26 May 2004. UTMB Dept. of Otolaryngology. 11 Sept. 2005 <http://www.utmb.edu/otoref/Grnds/Mandible-fx-040526/Mandible-fx- 040526.htm>. Prater, Michael E., comp. Mandibular Fractures. 27 Nov. 1996. UTMB Dept. of Otolaryngology. 20 Sept. 2005 <http://www.utmb.edu/otoref/Grnds/Mandibular-fx-961127/Mandibular-fx-961127.htm>. Stierman, Karen, and Byron J. Bailey. "Mandible Fractures." 14 June 2000. 10 Sept. 2005


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UW-Madison BME 200 - Maxillomandibul ar Fixation

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