A Prospective Randomized Study Comparing 3D Plates Versus Two Plates for theTreatment of Mandibular Angle Fractures


Authors : Dr.V.Santhosh Kumar; Dr.Prasanna Kumar P; Dr.Ankita Raj; Dr.Vivek Singh Chauhan; Dr.Aathira Madhu; Dr.FrancisJohn Alapatt; Dr.Sonali Soumya Samal

Volume/Issue : Volume 8 - 2023, Issue 6 - June

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://tinyurl.com/2p999c82

DOI : https://doi.org/10.5281/zenodo.8271827

Abstract : Background: Mandibular fracture treatment is the restoration of anatomical form and function, with particular care to establish the occlusion. Traditionally, this has been achieved by immobilizing the jaws using various wiring techniques In the past 2 decades,interest has increased for different methods of open reduction and internal fixation (ORIF) Aims and Objectives: The purpose of this study was to evaluate the clinical outcome of the 3D plate compared to conventional two-plate fixation for stabilization of the mandibular angle fracture. Patients and Methods: The study, conducted in all adult patients with maxillary and facial fractures, was referred to the Department of Oral and Maxillofacial Surgery, Rama Dental College, Kanpur. The study included 20 patients aged 18-40 years with good or poor angle fractures who were operated with an intra-oral or extra-oral approach. Group I: - Includes his 10 patients whose fractures were fixed with three-dimensional titanium plates. Group II: - Includes 10 patients with fractures fixed with two conventional titanium miniplates. Results: Wound healing was satisfactory in all cases in both groups.  Satisfactory occlusion was achieved in all cases in both groups  Other parameters such as maximal mouth opening, sensory nerve function, and patienttolerance to plates were comparable.  Conclusion: Three-dimensional plate fixation is comparable to dual miniplate fixation in the fixation of mandibular angle fractures. Both systems provide enough stability for good bone healing, optimal occlusal establishment, and rapid return to normal function.

Keywords : Mandibular Angle Fracture,3D Conventional Miniplate ,2 Conventional MiniplateFixation

Background: Mandibular fracture treatment is the restoration of anatomical form and function, with particular care to establish the occlusion. Traditionally, this has been achieved by immobilizing the jaws using various wiring techniques In the past 2 decades,interest has increased for different methods of open reduction and internal fixation (ORIF) Aims and Objectives: The purpose of this study was to evaluate the clinical outcome of the 3D plate compared to conventional two-plate fixation for stabilization of the mandibular angle fracture. Patients and Methods: The study, conducted in all adult patients with maxillary and facial fractures, was referred to the Department of Oral and Maxillofacial Surgery, Rama Dental College, Kanpur. The study included 20 patients aged 18-40 years with good or poor angle fractures who were operated with an intra-oral or extra-oral approach. Group I: - Includes his 10 patients whose fractures were fixed with three-dimensional titanium plates. Group II: - Includes 10 patients with fractures fixed with two conventional titanium miniplates. Results: Wound healing was satisfactory in all cases in both groups.  Satisfactory occlusion was achieved in all cases in both groups  Other parameters such as maximal mouth opening, sensory nerve function, and patienttolerance to plates were comparable.  Conclusion: Three-dimensional plate fixation is comparable to dual miniplate fixation in the fixation of mandibular angle fractures. Both systems provide enough stability for good bone healing, optimal occlusal establishment, and rapid return to normal function.

Keywords : Mandibular Angle Fracture,3D Conventional Miniplate ,2 Conventional MiniplateFixation

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