A Prospective Randomized Clinical Trial Comparing 3D and Standard Miniplates in Treatment of Mandibular Symphysis and Parasymphysis Fractures

Agarwal, Mohit; Meena, B. P.; Gupta, Deepesh Kumar; Tiwari, Anjali Dave; Jakhar, Sunil

doi:10.1007/s12663-013-0483-x

Cited by 28 publications

(35 citation statements)

References 12 publications

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“…In this study, none of the patients in either of the groups had nonunion, plate fracture, or loosening of plate and screws within the follow up period and this is in agreement with Agrawal et al (27) who reported that no such significant complications were noted in both conventional and 3D miniplates. Also Melek et al (36) reported that in their study of 3D plate in mandibular angle fracture.…”

Section: Discussionsupporting

confidence: 93%

“…The time taken from the 3D plate adaptation to the definitive fixation in this study ranged from 5 to 10 min. It had a faster fixation time compared to the conventional miniplates which had a range of 10-15 min fixation time and this is in agreement with Agrawal et al (27) who reported that the operative time with 3D plates in the treatment of symphysis and parasymphysis fractures is lesser than conventional miniplates. They suggested that the operative time is shorter because of the simultaneous stabilization at both superior and inferior borders and less implant material is used in symphysis and parasymphysis region.…”

Section: Discussionsupporting

confidence: 86%

“…In this study, none of the patients in both groups developed infection except one case in group B which was managed with another course of antibiotic and was totally resolved. Also Agrawal et al (27) recorded temporary infection in two cases and reported that difference was not statistically significant. Parmar et al (37) reported an infection rate of 6.6% in the 3D plate.…”

Section: Discussionmentioning

confidence: 94%

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A Comparative Study Between 3-D Plates and Conventional Miniplates for Internal Fixation of Anterior Mandibular Fractures

Nakeeb

Dibany

Shokry

2016

Alexandria Dental Journal

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INTRODUCTION: The management of facial trauma is one of the most demanding aspects of oral and maxillofacial surgery. Being the most prominent mobile bone of the facial skeleton, mandible fracture occurs more frequently than any other facial fracture. OBJECTIVES: To compare between the effect of three dimensional (3D) plates and conventional miniplates for internal fixation of anterior mandibular fractures. MATERIALS AND METHODS: This was a controlled and randomized clinical trial. A total of 20 patients; aged between 21-50 years, who had symphyseal or parasymphseal mandibular fracture were randomly selected for this study from the outpatient clinic of Oral and Maxillofacial Surgery Department, Faculty of dentistry, Alexandria University. In this study, open reduction and internal fixation were performed for mandibular symphyseal and parasymphyseal region fractures using one three dimensional (3D) plate in 10 patients as study group and using two miniplates in 10 patients as control group. Clinical and radiographical evaluation were made. Each patient was evaluated: 1-clinically for infection, pain, swelling, malocclusion, wound healing, sensory disturbance, primary stability of the fracture segment, maximum mouth opening and masticatory efficiency using pressure indicating film. 2-Radiological: cone beam computed tomography (CBCT) images were taken to evaluate reduction of the fractured segment, malunion/non-union and bone density within the fracture line. The data collected was subjected to statistical analysis. RESULTS: There was an improvement in wound healing, oedema, occlusion and sensory disturbance in both groups. There was no statistical significant difference between the two groups regarding pain, maximum mouth opening, bite force or bone density. CONCLUSIONS: Three dimensional plate is effective in the treatment of anterior mandibular fractures as well as conventional miniplates. Ease of application and shorter working time are its advantages over conventional miniplates.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 94%

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A Comparative Study Between 3-D Plates and Conventional Miniplates for Internal Fixation of Anterior Mandibular Fractures

Nakeeb

Dibany

Shokry

2016

Alexandria Dental Journal

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“…The goal must be accomplished by means that will produce the least disability, risk and shortest recovery period for the patient. 11 The treatment of mandibular fractures has evolved over a period of time from old methods of bandaging and splinting, which are forms of closed reduction, to the more recent methods of open reduction. 1 General acceptance of open osteosynthesis did not appear in maxillofacial literature, until an organized research was done by the AO group in 1950.…”

Section: Discussionmentioning

confidence: 99%

Study of Efficacy of Titanium Three-Dimensional Locking Plate In The Treatment of Mandibular Fractures

2016

IJDA

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ABSTRACT:Context: Face is the window through which we perceive the world around us and the world perceive us. In the era of increasing automobilization and industrialization the treatment of mandibular fractures has attained a prominent position. The main goal in the treatment of fracture is to restore pre injury anatomical form, with associated aesthetics and function. Aim:The purpose of the study is to evaluate the efficacy of Titanium Three Dimensional Locking Plates in the treatment of mandibular fractures. Methods and Materials:Total twenty patients were selected who suffered with mandibular fractures randomly. All patients were operated through the standard intra oral incision at fracture site of the mandible and immobilized the fracture segments using titanium three dimensional locking plating systems. The resulting osteosynthesis were evaluated with the scoring system for 9 parameters and complications encountered during their use were also recorded and reported in this study Results:The results of this study suggest that fixation of mandibular fracture with 3D plates provides three-dimensional stability and carries low morbidity and infection rates. These plates functions as internal fixator achieving stability by locking the screw to the plate, the other advantages offered by them are less screw loosening, less precision in plate adaptation and less alteration of the osseous or occlusal relationship upon screw tightening. Conclusion:During the course of present study, 3D plates stabilize the bone fragments in three dimensions because of closed quadrangular geometric shape and the ease of contouring and adapting. 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. But the small sample size and limited follow up could be considered as the limitations of our study. It is hence recommended to have a multicenter study with large number of patients and correlation among these studies to authenticate our claims.

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“…Mandibular fractures are frequent in facial trauma. With the increase in facial trauma in incidence due to automobile‐ and industrial‐related accidents, the treatment of mandibular fractures has become important for the maxillofacial surgeon [1]. During past decades, various types of techniques have been developed to provide stable fixation for mandibular fractures and osteotomies.…”

Section: Introductionmentioning

confidence: 99%

Three dimensional versus standard miniplate fixation in the management of mandibular fractures: A meta‐analysis of randomized controlled trials

Silajiding¹,

Wusiman

Yusufu

et al. 2017

The Kaohsiung J of Med Scie

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The aim of this meta-analysis is to evaluate the efficacy of the 3-dimensional miniplate system in comparison with the standard miniplate system for the treatment of mandibular fractures (MFs). A systematic review was conducted according to PRISMA guidelines, examining Medline-Ovid, Embase, and PubMed databases. The primary search objective was to identify all papers reporting the results of randomized control trials (RCTs) for the treatment of adults with mandibular fractures, with the aim of comparing the different techniques. The incidence of complications was evaluated; nine studies including 283 patients with different fracture sites were enrolled in the analysis. The results showed no significant differences in overall complications (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.552-1.542; P = 0.81), postoperative infections (OR, 0.99; 95% CI, 0.40-2.48; P = 0.89), wound dehiscence (OR, 0.96; 95% CI, 0.13-7.37; P = 0.96), paresthesia (OR, 0.47; 95% CI, 0.20-1.07; P = 0.11), or malocclusion (OR, 1.8; 95% CI, 0.39-8.32; P = 0.47) between standard miniplates and 3-dimensional miniplates for treating mandibular fractures. Mandibular fractures treated with 3-dimensional miniplates and standard miniplates presented similar short-term complication rates, and the low postoperative maxillomandibular fixation rate of using standard miniplates also indicated that the standard miniplate has a promising application in the treatment of mandibular fractures.

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A Prospective Randomized Clinical Trial Comparing 3D and Standard Miniplates in Treatment of Mandibular Symphysis and Parasymphysis Fractures

Cited by 28 publications

References 12 publications

A Comparative Study Between 3-D Plates and Conventional Miniplates for Internal Fixation of Anterior Mandibular Fractures

A Comparative Study Between 3-D Plates and Conventional Miniplates for Internal Fixation of Anterior Mandibular Fractures

Study of Efficacy of Titanium Three-Dimensional Locking Plate In The Treatment of Mandibular Fractures

Three dimensional versus standard miniplate fixation in the management of mandibular fractures: A meta‐analysis of randomized controlled trials

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