Comparison between Conventional 2.0 mm Miniplates versus 3-D Plates In Management of Mandibular Fractures (original) (raw)
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Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures
Annals of Maxillofacial Surgery, 2013
To compare and evaluate the treatment outcome and postoperative complications in mandibular fractures using 2-and 3-dimensional miniplates. Materials and Methods: This study consisted of a sample of 28 patients (40 fracture sites) divided randomly but equally (single-blind control trial study) into two groups. Each group contains 14 patients (20 similar fracture sites in each group). Group 1 was treated with open reduction and internal fixation using 3-dimensional (3-D) miniplates. Group II was treated using 2-dimensional (2-D) 2-mm miniplates. Results: Out of 14 patients treated by conventional 2-mm miniplates, 2 patients developed occlusal discrepancy, another 2 had postoperative mobility at fracture site, and 1 developed plate failure and subsequent infection, which was treated by removal of the plate under antibiotic coverage. One patient treated by 3-dimensional plates had tooth damage. Statistical Analysis: Chi-square test. Conclusion: The results of this study suggested that the treatment of mandibular fractures (symphysis, parasymphysis, and angle) with 3-dimensional plates provided 3-dimensional stability and carried low morbidity and infection rates. The only probable limitations of 3-dimensional plates were excessive implant material due to the extra vertical bars incorporated for countering the torque forces.
International Journal of Contemporary Medical Research [IJCMR], 2019
The aim of mandibular fracture treatment is to restore the pre-injury anatomic form and function, with particular care to establish the occlusion. Of the various treatment modalities available, Champys miniplate fixation has become the most widely used technique. The 3-dimensional (3D) plating for mandibular fracture treatment is relatively new. This study was conducted to compare efficacy, stability and rigidity of 3-dimensional plates with that of 2mm titanium miniplates in the surgical management of anterior mandibular fractures. Material and Methods: The study was conducted on 70 patients with anterior mandbibular fractures (Symphysis and Parasymphysis region). Patients were randomly divided into two groups, Group I (n=35) in which the patients underwent fixation by miniplates (2 nos) while in Group II (n=35), 3D plates were used for fixation. The patients preoperative, intra operative and post-operative clinical and radiological findings were recorded in a proforma and were subjected to statistical analysis. Fisher's Exact Test was used to compare the data obtained from group I and group II patients. Results: Out of 70 patients, 77.14% corresponded to the age group of 15-30 years and 82.85% were males. Road traffic accident (80) % was the leading cause of fracture. The time required to adapt and fix the miniplates was slightly more than 3-D plates and results were statistically significant. Skeletal and occlusal stability was maintained in both group. Conclusion: There is no major difference in terms of treatment outcome in both systems, and both are equally effective in mandibular fracture treatment.
Efficacy of 3-Dimensional plates over Champys miniplates in mandibular anterior fractures
Journal of international oral health : JIOH, 2014
Mandibular fractures are treated surgically by either rigid or semi-rigid fixation, two techniques that reflect almost opposite concept of craniomaxillofacial osteosynthesis. The shortcomings of these fixations led to the development of 3 dimensional (3D) miniplates. This study was designed with the aim of evaluating the efficiency of 3D miniplate over Champys miniplate in anterior mandibular fractures. This study was done in 40 patients with anterior mandibular fractures. Group I consisting of 20 patients in whom 3D plates were used for fixation while in Group II consisting of other 20 patients, 4 holes straight plates were used. The efficacy of 3D miniplate over Champy's miniplate was evaluated in terms of operating time, average pain, post operative infection, occlusion, wound dehiscence, post operative mobility and neurological deficit. The mean operation time for Group II was more compared to Group I (statistically significant).There was significantly greater pain on day of...
International Journal of Recent Scientific Research, 2017
To compare and evaluate 3-dimensional (3D) and conventional 4-hole miniplates fixation in the management of mandibular fractures. Materials and Methods: In 20 randomly selected patients who sustained mandibular fractures were selected for this study. Of the 20 cases, in 10 cases fractured fragments were stabilized using 2.0mm 3-Dimensional miniplates and in remaining 10 cases the fractured fragments were fixed with conventional 2.0mm miniplates. Post operatively cases were assessed clinically and radiographically at immediate post op, 1month and 3months. Results: This study suggests that fixation of mandibular fracture with 3D Plates provide three dimensional stability and carries low morbidity and infection rates. The only probable limitation of these plates may be excessive implant material due to the extra vertical bars incorporated for countering the torque forces and in cases where the fracture line passing through the mental foramina region. Conclusion: The 3D plate was found to be standard in Profile, strong yet malleable, facilitating reduction and stabilization at both the Superior and inferior borders giving three dimensional stability at fracture site. They seem to be an easy to use alternative to conventional miniplates. But the small sample size and limited follow up could be considered as the limitations of our study. Inclusion Criteria Patients of both genders within the age group of 20 to 50 years.
Dentistry 3000
Fracture of mandible is a common facial injury. For restoration of normal jaw structure and function, proper bony healing is important and thus, stable plate osteosynthesis has become an indispensable component of cranio-maxillofacial surgery.Aim: This study aimed to evaluate the efficacy of 3D versus 2D mini bone plates used for internal fixation of mandibular fractures.Methods and Material: A prospective randomised control trial was conducted on 20 patients with mandibular fractures in the symphysis and parasymphysis regions. In group 1, 3-D miniplates were used with a single, rectangular, 4-holed titanium plate with 4 screws and in group 2, 2-D miniplates were used with two 4-holed titanium plates fixed with 8 screws.Time taken for fixation and operators comfort was analysed using Chi square test whereas trismus and pain were analysed using Anova.Results: The difference for mean time taken for fixation was statistically highly significant (P < 0.01) between 3-D (33.1 minutes) ...
The Journal of Contemporary Dental Practice, 2020
Aims: The aim of this study was to compare 2D plates with 3D mini plate system in the management of mandibular angle fractures. Materials and methods: The study was conducted on 146 patients with mandibular angle fracture, who were equally divided into two groups of 73. Patients in group I were treated with 3D plating and in group II with 2D plating. In all cases, 2.0 mm titanium miniplates were used. The etiology of fracture, amount of mouth opening, and pain and sensory deficit were recorded. Clinical and radiographic assessment was done at 1, 3, and 6 months. Results: The etiology of mandibular angle fracture is roadside accident (RSA) seen in 110 (75.3%) cases, fall in 24 (16.4%), and assault in 12 (2.6%) cases. There was significant (p < 0.05) mouth opening in group I at 1 month postoperatively (32.4 mm) as compared to group II (27.5 mm), at 3 months in group I (33.6 mm) as compared to group I (30.2 mm), and at 6 months in group I (36.4 mm) as compared to group II (31.6 mm). After 1 month, sensory deficit was present in six patients in group I and 10 patients in group II. After 3 months, group I had no patients and three patients in group II. Right angle fracture was found in 71 patients (group I-36, group II-35). Mandibular right angle fracture in 58 patients (group I-28, group II-30). Conclusion: The authors found that the 3D miniplate system is more useful in the management of cases of mandibular angle fracture as compared to 2D miniplates. Clinical significance: There has been increase in mandibular fractures in the last few years. Appropriate management with 3D miniplates may be useful in providing better treatment outcomes.
Treatment of Mandible Fractures Using a Miniplate System: A Retrospective Analysis
Journal of Clinical Medicine
Three-dimensional (3D) mini plate systems are used in the treatment of mandibular fractures. The system is advantageous in comparison to conventional plates due to the stabilization of tension and compression areas, improved initial stability, and biomechanical behavior. The aim of this retrospective study was to evaluate the use of a 3D miniplate system for the treatment of patients with mandibular fractures. Patients with mandibular fractures treated with a 3D plate system at the Department of Oral and Maxillofacial Surgery, University Hospital Münster, during a period of 5 years, were included in this study. Mandibular fracture conditions and minor and major post-operative complications were reported. In total, 336 patients and 391 mandibular fractures were assessed. The most common fracture site was anterior mandible, and 155 cases involved a tooth-bearing area. Minor complications were seen in 8.03% of cases, whereas only 1.49% of patients suffered from major complications. The...
Conventional 2.0 mm Miniplates versus 3D Miniplate in Mandibular Fracture Fixation
Al-Azhar Dental Journal for Girls, 2016
The aim of the present study was to clinically and radiographically compare and evaluate the treatment outcomes using 3D miniplate versus conventional 2.0 mm miniplates in fractures fixation of the anterior mandible. The study enrolled 16 patients with a total of 18 fractures; suffering from anterior mandibular fractures (symphysis and/or parasymphysis) requiring open reduction and internal fixations through an intra-oral approach. Groups I patients were fixed using 3D titanium miniplates and screws. Group II patients were fixed using two 2.0 mm titanium miniplates and screws. Postoperative primary clinical treatment outcome points for comparative evaluation for all patients were fracture stability, the need for additional IMF, the need for minor occlusal adjustments and satisfactory occlusion. Secondary assessment points were infection, wound dehiscence and neurosensory deficit. Radiographic evaluation postoperatively was in terms of reduction adequacy, bone union and condylar positional change measurement. With respect to all the evaluated parameters, statistical analysis showed no statistically significant difference between the two groups in terms of clinical and radiographic treatment outcomes.
Pakistan Journal of Medical and Health Sciences
Background: Mandibular fracture, also known as fracture of the jaw, is a sudden discontinuity through the mandibular bone. In the treatment of un-favorable mandibular angle fractures, 3D plating system was analogous to double miniplates Osteosynthesis. Over the last century, the indicators for closed vs. open reduction have shifted considerably. Objective: To compare the outcome of conventional miniplates versus 3-D miniplates for reduction of mandibular fractures Material & Methods Study Design: It was randomized control trial Setting: Department of Oral & Maxillofacial Surgery, Mayo Hospital, Lahore Duration: 6 months i.e. from 24-04-2017 to 24-10-2017 Data collection: 70 mandibular fracture patients were enrolled. The patients were split into two groups. Group A is treated with 3D plates technique and group B treated with conventional mini plate technique. After surgery patients were evaluated for plate failure or and at 1 month for occlusal discrepancy. All the data was entered ...
IP innovative publication pvt. ltd, 2019
Abstract Introduction: Mandible is the largest and strongest facial bone, by virtue of its position on the face and its prominence, it is commonly fractured when maxillofacial trauma has been sustained. The main disadvantage of conventional bone plate/screw systems is that the plate must be perfectly adapted to the underlying bone to prevent alterations in the alignment of the segments and changes in the occlusal relationship during screw tightening. Introduction of 2.0 mm locking plate/screw plating systems for the treatment of mandibular fractures works on the principle of restricted backout and function as internal fixators, achieving stability by locking the screw to the plate with unique advantage of obviating the need of intimate contact of the plate with the underlying bone. So the study was planned with an aim for comparative evaluation of use of 2.0-mm stainless steel locking miniplates with Champy`s miniplates in mandibular fractures in terms of stability, postoperative healing & associated complications. Materials and Methods: This cross sectional prospective interventional analytical study was carried out in Department of Dentistry at Raipur Institute of Medical Sciences, Raipur over a period of 10 months from September 2016 to July 2017. A total of 60 patients were enrolled in two study groups of 30 each. Detailed clinical, laboratory and radiological examination was followed by standard operative procedures described by the various authorities using two different Miniplates. The results were documented in Microsoft Excel and statistical analysis was done using Epi-info. Results: Both the study groups were having 30 patients each. 26 males and 4 females in group I whereas 28 males and 2 females in group II. A total of 54/60 patients were male and 6 females.Road traffic accident was the most common cause of mandibular fractures in 37/60 (61.66%). Parasymphysis was the most common site of fracture (40%).There is no significant difference in working time, post-operative infections but significant difference is observed in terms of post-operative occlusion, mobility of fractured segments, pain at various point of time measured on visual analogue scale when tested with various tests of significance Conclusion: The use of 2.0mm locking plate system with its advantages of improved handling characteristics, increased stability, less occlusive discrepancy, low infection rate, less mobility, less painappear to be an effective and reliable alternative to Champy`s miniplates in mandibular fractures. Keywords: Locking plate system, Working time, Postoperative occlusion, Post-operative mobility.