Copyright: © 2026 by the authors. Licensee: Pirogov University.
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ORIGINAL RESEARCH

Biomechanical evaluation of mandibular splinting method for fractures within the dental arch

Darawsheh HM1 , Mellin RV2 , Akulinichev EA1 , Moiseev DA3 , Snezhko OV4 , Kopetskiy IS3 , Vasiliev YuL1
About authors

1 Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia

2 Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russia

3 Pirogov Russian National Research Medical University (Pirogov University), Moscow, Russia

4 Novosibirsk State Medical University, Novosibirsk, Russia

Correspondence should be addressed: Denis A. Moiseev
Ostrovityanova 1, str. 9, Moscow, 117997, Russia; ur.umsr@ad_veesiom

About paper

Author contribution: Darawsheh HM, Mellin RV, Akulinichev EA — research procedure; Darawsheh HM, Mellin RV — data analysis; Darawsheh HM, Mellin RV, Akulinichev EA, Moiseev DA, Snezhko OV — manuscript writing; Kopetskiy IS, Vasiliev YuL, Moiseev DA — manuscript editing.

Compliance with ethical standards: the study was approved by the ethics committee of the Sechenov First Moscow State Medical University (protocol No. 16–24 dated 20 June 2024).

Received: 2026-03-03 Accepted: 2026-04-13 Published online: 2026-04-23
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Treatment of mandibular fractures remains a pressing issue in maxillofacial surgery. This paper presents a novel single-jaw splinting technique (RF patent No. 2735258) for the immobilization of bone fragments in fractures located within the dental arch. Mathematical modeling using the finite element method (FEM), based on computed tomography data from one volunteer, was performed to assess its biomechanical efficiency. A 3D model of the mandible with the fixation construct and an indenter (simulating occlusal load up to 50 N) was constructed. The modeling results showed that the relative movement between the fragments was approximately 25 µm, which is comparable with literature data for two-titanium-plate osteosynthesis. The maximum equivalent stress values in the metal splint reached 100 MPa, and in the splint these reached 3 MPa. The developed method ensures stable fixation without involvement of the maxilla. The analysis involved only a single model and no experimental validation; therefore, confirmation in further research is required. Nevertheless, the obtained data suggest that the method is promising as an alternative to existing immobilization techniques.

Keywords: biomechanics, mandibular fracture, bone fragment immobilization, finite element method, single-jaw splinting

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