Three Dimensional Titanium Mini Plates in Management of Mandibular Fractures

Abstract

Over the years, the management of trauma has evolved from various forms of splinting circum mandibular wiring (R.J.Fonseca&R.V.Walker) extraoral pins, semi rigid fixation and trans-osseous wiring. This was followed by rigid fixation technique and more lately has given way to semi-rigid fixation with miniplates (Champy.M.et al) 3,10,11. The currently used conventional miniplates technique requires maxillomandibular fixation for a short period and unable to render three dimensional stability at the fracture site 2, 12. At times it is highly desirable to effect a method of fracture reduction which will provide rapid bone healing 18 , mechanical stability and obviates the use of inter-maxillary ligation. The three dimensional (3-D) miniplate system is one of the recent internal rigid fixations for the maxillomandibular surgery in years 8 .The three dimensional plating system is based (Farmand 1993) 9 on the principle of obtaining support through geometrically stable in the threedimensions of the fracture site since it offers good resistance against torque forces.

Three-dimensional strut plate for the treatment of mandibular fractures: a systematic review

“…Among the articles selected for the final review, 16 reported prospective studies [3][4][5]9,10,18,21,22,[26][27][28][29][30][31][32][33] , seven reported retrospective studies 8,17,[34][35][36][37][38] , and two reported case series 16,39 . Regarding the evaluation of quality, three studies presented a low risk of bias 10,31,32 , six a moderate risk [3][4][5]17,21,30 , and 16 a high risk 8,9,16,18,22,[26][27][28][29][33][34][35][36][37][38][39] (Table…”

Comparative study of outcomes between locking plates and three-dimensional plates in mandibular fractures

“…They concluded that 3D titanium miniplates were a viable option for the management of mandibular fractures with the advantages of placement through an intraoral approach, minimizing surgical period and trauma with the added advantage of simple techniques for adaptation to the bone. [ 14 ]…”

Comparison between Conventional 2.0 mm Miniplates versus 3-D Plates In Management of Mandibular Fractures

“…Literature says the most universal etiological factor related to maxillofacial injuries is road traffic accident (RTA) which shows around 45.3% involvement [1]. Causes other than RTA include falls (42.6%), assaults (0.89%), sport injuries (2.2%), and gunshot wounds (0.89%) [2]. As the mandible shows more central position of face and secondly due to its obvious prominence it gets fractured more often [3].…”

“…Noticeable gaines of rigid fixation are short MMF period or even no MMF, mandibular function that gets early in incorporation, boost in patient happiness and quicker healing [7]. The main drawback in using routine miniplates technique is that it seems deficient tin providing three dimensional stability of the fractured segment, and that too require maxilla-mandibular fixation for a short period [2,4,8]. In recent years the most latest technique in treating maxilla-mandibular surgery is by the three dimensional (3-D) miniplates system, which is also a rigid fixation method [2].…”

“…Around 2 decades ago in 1993, a 3-D plate with quadrangular design by Farmad. He did it by uniting two miniplates with interlocking crossbars [2,9]. Stability by three dimensions was the basic concept thought in the development of 3-D plates [10].…”