Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates &amp; 3-D Locking Plates

Goyal, Manoj; Marya, Karan; Chawla, Sonia; Pandey, Richa

doi:10.1007/s12663-011-0242-9

Cited by 16 publications

(15 citation statements)

References 13 publications

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“…A surgeon should have adequate knowledge of the anatomy as well as about the basic aspects of bone healing to prevent complications after fracture management. [568]…”

Section: Discussionmentioning

confidence: 99%

“…Goyal M et al (2011) used small miniplates through Transbuccal approach for mandibular fixation. [6] Later, Sadhwani BS et al (2013) finally developed the technique with practicality. According to them, the site of bone plate fixation must offer the most stable way of fixation corresponding to the line of tension at the base of alveolar process.…”

Section: Introductionmentioning

confidence: 99%

“…Usually, two plates are used if the fractures are anterior to mental foramen and one plate for fractures posterior to foramen. [56]…”

Section: Introductionmentioning

confidence: 99%

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Three-dimensional miniplate: For the management of mandibular parasymphysis fractures

Mohd

Reddy

Sinha

et al. 2019

Ann Maxillofac Surg

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Background:Recently, oral and maxillofacial surgeons are favoring three-dimensional (3D) miniplates to treat mandibular fractures.Aims:The aim of the study is to evaluate the efficacy of 3D-miniplates over standard miniplates in the management of mandibular parasymphysis fracture.Materials and Methods:Forty patients with mandibular parasymphysis fractures were divided into two groups of 20 patients each. Group I patients underwent osteosynthesis of mandibular fracture by noncompression, unicortical, and stainless steel 3D miniplates, and Group II patients underwent osteosynthesis by noncompression, unicortical, and stainless steel Champy's miniplates. All the patients were followed up 6 months’ postoperatively, evaluating occlusion, mobility of fracture segment, pain, wound dehiscence, neurological deficit, and infection.Statistical Analysis Used:The data were analyzed by SPSS for windows (version 17) statistical package (SPSS Inc., Chicago, IL, USA). Chi-square test was carried out to determine the statistical difference between the groups.Results:Mobility of the fractured site was evaluated postoperatively after 2 weeks, and it was found that mobility was absent in all the cases of Group I and 36 (80%) cases in Group II. There was significant difference in the mean visual analog scale scores among the Group I and II when compared from preoperative to 4-week follow-up. In Group II, two patients showed wound dehiscence. After 2 weeks, infection was seen in two patients of Group II.Conclusion:3D plates in mandibular parasymphysis fractures give dimensional stability and carry low morbidity and infection rates.

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“…A surgeon should have adequate knowledge of the anatomy as well as about the basic aspects of bone healing to prevent complications after fracture management. [568]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Three-dimensional miniplate: For the management of mandibular parasymphysis fractures

Mohd

Reddy

Sinha

et al. 2019

Ann Maxillofac Surg

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“…[ 2 ] The past 10 years have witnessed the use of locking plate/screw systems in maxillofacial surgery. These plates function as internal fixators,[ 3 ] and stability is achieved by locking the screw to the plate. [ 2 ] The locking mechanism is such that the hole in the bone plate is engineered to accept screws that lock to it by the thread under the head of the screw,[ 1 11 ] i.e.…”

Section: Discussionmentioning

confidence: 99%

“…This problem, to an extent, has been overcome by the development of locking plate/screw systems where the screw locks not only the bone but also the plate and serves as a mini-internal fixator. [ 2 ] It is assumed that this relationship of plate and screw will reduce the number of fixation screws per osseous fragment,[ 1 3 ] and thus, minimal hardware can achieve the same fixation objectives as with bulkier plating systems.…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of bite forces in patients after treatment of mandibular fractures with miniplate osteosynthesis and internal locking miniplate osteosynthesis

Kumar

Gattumeedhi

Sankhla

et al. 2014

J Int Soc Prevent Communit Dent

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Aims and Objectives:The aim of present study was to compare the stability of fractured mandibular fragments under functional load, when fixed with conventional miniplate and internal locking miniplate.Materials and Methods:Bite force (in kg) recorded in twenty mandible fractured patients and fifty normal healthy individuals. Bite force was measured at incisor and molar regions. Comparative evaluation of bite force generated was performed between 10 cases treated with conventional miniplates and 10 cases treated with internal locking miniplates. Bite force generated by patients in mandibular fracture between symphysis and the angle of mandible was recorded in incisor and molar regions preoperatively. The fracture fragments were fixed using the above fixation techniques. Then same recording was undertaken on the 7th, 14th, 21st, 28th, and 90th days postoperatively.Results:Bite force generated by patients treated with locking plates at the 7th, 14th, 21st, 28th, and 90th postoperative days was significantly higher as compared to those in patients treated with miniplates.Conclusion:It was observed in our study that the locking plate/screw system offers significant advantages over the conventional plating system. There are no intraoperative difficulties associated with placement of the plate.

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A Comparative Study of 3-Dimensional Titanium Versus 2-Dimensional Titanium Miniplates for Open Reduction and Fixation of Mandibular Parasymphysis Fracture

Mittal

Varghese

Mohan

et al. 2015

J. Maxillofac. Oral Surg.

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Introduction Three dimensional titanium plating system was developed by Farmand in 1995 to meet the requirements of semi rigid fixation with lesser complication. The purpose of this in vivo prospective study was to evaluate and compare the clinical effectiveness of three dimensional and two dimensional Titanium miniplates for open reduction and fixation of mandibular parasymphysis fracture. Materials and Methods Thirty patients with non-comminuted mandibular parasymphysis fractures were divided randomly into two equal groups and were treated with 2 mm 3D and 2D miniplate system respectively. All patients were systematically monitored at 1st, 2nd, 3rd, 6th week, 3rd and 6th month postoperatively. The outcome parameters recorded were severity of pain, infection, mobility, occlusion derangement, paresthesia and implant failure. The data so collected was analyzed using independent t test and Chi square test (a = .05).Results The results showed that one patient in each group had post-operative infection, occlusion derangement and mobility (p [ .05). In Group A, one patient had paresthesia while in Group B, two patients had paresthesia (p [ .05). None of the patients in both the groups had implant failure. There was no statistically significant difference between 3D and 2D miniplate system in all the recorded parameters at all the follow-ups (p [ .05).Conclusion 3D miniplates were found to be better than 2D miniplates in terms of cost, ease of surgery and operative time. However, 3D miniplates were unfavorable for cases where fracture line was oblique and in close proximity to mental foramen, where they were difficult to adapt and more chances for tooth-root damage and inadvertent injury to the mental nerve due to traction.Keywords Three dimensional titanium miniplate (3D) Á Two dimensional titanium miniplate (2D) Á Mandibular parasymphysis fracture Á Open reduction and internal fixation

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Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates & 3-D Locking Plates

Cited by 16 publications

References 13 publications

Three-dimensional miniplate: For the management of mandibular parasymphysis fractures

Three-dimensional miniplate: For the management of mandibular parasymphysis fractures

Comparative evaluation of bite forces in patients after treatment of mandibular fractures with miniplate osteosynthesis and internal locking miniplate osteosynthesis

A Comparative Study of 3-Dimensional Titanium Versus 2-Dimensional Titanium Miniplates for Open Reduction and Fixation of Mandibular Parasymphysis Fracture

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