Comparative Study of 3 Dimensional and Standard Miniplate in Management of Anterior Mandibular Fractures

Introduction: The aim of mandibular fracture treatment isto restore the pre-injury anatomic form and function, withparticular care to establish the occlusion. Of the varioustreatment modalities available, Champys miniplate fixation hasbecome the most widely used technique. The 3-dimensional(3D) plating for mandibular fracture treatment is relativelynew. This study was conducted to compare efficacy, stabilityand rigidity of 3-dimensional plates with that of 2mm titaniumminiplates in the surgical management of anterior mandibularfractures.Material and Methods: The study was conducted on 70patients with anterior mandbibular fractures (Symphysis andParasymphysis region). Patients were randomly divided intotwo groups, Group I (n=35) in which the patients underwentfixation by miniplates (2 nos) while in Group II (n=35), 3Dplates were used for fixation. The patients preoperative, intraoperative and post-operative clinical and radiological findingswere recorded in a proforma and were subjected to statisticalanalysis. Fisher’s Exact Test was used to compare the dataobtained from group I and group II patients.Results: Out of 70 patients, 77.14% corresponded to the agegroup of 15-30 years and 82.85% were males. Road trafficaccident (80) % was the leading cause of fracture. The timerequired to adapt and fix the miniplates was slightly more than3-D plates and results were statistically significant. Skeletaland occlusal stability was maintained in both group.Conclusion: There is no major difference in terms of treatmentoutcome in both systems, and both are equally effective inmandibular fracture treatment.

Keywords

Anterior Mandibular Fractures, Champys Miniplate, 3D Plate

Citation

Singh Revati, Shahi Ajoy Kumar, Prajapati V.K., Sharma Swati, Chandra Subhash, Kumar Sandeep. Comparative Study of 3 Dimensional and Standard Miniplate in Management of Anterior Mandibular Fractures. International Journal of Contemporary Medical Research . 2019 Aug; 6(8): h5-h11

URI

https://imsear.searo.who.int/handle/123456789/202543

Collections

International Journal of Contemporary Medical Research

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