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Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures.

Sadhwani BS, Anchlia S - Ann Maxillofac Surg (2013)

Bottom Line: Chi-square test.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad, Gujarat, India.

ABSTRACT

Aim: 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.

No MeSH data available.


Related in: MedlinePlus

Postoperative OPG shows reduction and fixation of right parasymphysis fracture with 2.0-mm miniplates, 4-hole with gap miniplates, and restoration of occlusion
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Figure 11: Postoperative OPG shows reduction and fixation of right parasymphysis fracture with 2.0-mm miniplates, 4-hole with gap miniplates, and restoration of occlusion

Mentions: In Group II patients, fixation of conventional 2-D miniplates was done along the osteosynthesis lines as described by Champy. Postoperative intermaxillary fixation was avoided and done only if required or when occlusion was deranged. Postoperative X-ray was taken to evaluate reduction and fixation of fracture. Here, we showed a preoperative and postoperative series of photographs and radiographs of right parasymphysis fracture fixed with 2-D plates [Figures 7–11].


Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures.

Sadhwani BS, Anchlia S - Ann Maxillofac Surg (2013)

Postoperative OPG shows reduction and fixation of right parasymphysis fracture with 2.0-mm miniplates, 4-hole with gap miniplates, and restoration of occlusion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814664&req=5

Figure 11: Postoperative OPG shows reduction and fixation of right parasymphysis fracture with 2.0-mm miniplates, 4-hole with gap miniplates, and restoration of occlusion
Mentions: In Group II patients, fixation of conventional 2-D miniplates was done along the osteosynthesis lines as described by Champy. Postoperative intermaxillary fixation was avoided and done only if required or when occlusion was deranged. Postoperative X-ray was taken to evaluate reduction and fixation of fracture. Here, we showed a preoperative and postoperative series of photographs and radiographs of right parasymphysis fracture fixed with 2-D plates [Figures 7–11].

Bottom Line: Chi-square test.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad, Gujarat, India.

ABSTRACT

Aim: 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.

No MeSH data available.


Related in: MedlinePlus