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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

X-ray OPG shows fractured 2.0-mm conventional plate at left angle
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Figure 13: X-ray OPG shows fractured 2.0-mm conventional plate at left angle

Mentions: Among patients in Group II, in 1 patient, there was intraoral exposure of plate and intraoral pus discharge at left lower-third molar region. X-ray OPG of patient shows fractured 2-D miniplate at the left angle [Figure 12]. This complication was treated by removal of implant, intraorally under higher antibiotic coverage. No incidence of plate failure was reported in Group I patients, which coincides with the report by Guimond et al.,[9] on fixation of mandible angle fracture with 3-D plates [Table 4]. Fracture of mandibular angle is associated with highest incidence of postsurgical infection of all mandible fractures reported by Lizuka and Lindquist.[1011]


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

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

X-ray OPG shows fractured 2.0-mm conventional plate at left angle
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 13: X-ray OPG shows fractured 2.0-mm conventional plate at left angle
Mentions: Among patients in Group II, in 1 patient, there was intraoral exposure of plate and intraoral pus discharge at left lower-third molar region. X-ray OPG of patient shows fractured 2-D miniplate at the left angle [Figure 12]. This complication was treated by removal of implant, intraorally under higher antibiotic coverage. No incidence of plate failure was reported in Group I patients, which coincides with the report by Guimond et al.,[9] on fixation of mandible angle fracture with 3-D plates [Table 4]. Fracture of mandibular angle is associated with highest incidence of postsurgical infection of all mandible fractures reported by Lizuka and Lindquist.[1011]

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