Treatment of Mandible Fractures Using a Miniplate System: A Retrospective Analysis

Bohner, Lauren; Beiglböck, Fabian; Schwipper, Stephanie; Lustosa, Rômulo Maciel; Segura, Carla Pieirna Marino; Kleinheinz, Johannes; Jung, Susanne

doi:10.3390/jcm9092922

Cited by 19 publications

(17 citation statements)

References 25 publications

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“…The geometry of the 3-D plate permits three dimensional stability and opposes torque forces while ensuring a low profile and malleability [22]. A three-dimensional plate is a modification of Champy's system in which two plates are connected by vertical bars, neutralizing tension and compression forces at the same time [23]. The present study compared the effectiveness of the 3-D miniplate system, in comparison to the 2-D miniplate system, for the treatment of isolated mandibular angle fractures in terms of achieving balanced dental occlusion.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Post-Operative Occlusion with 3-D vs. 2-D Miniplate Fixation in the Management of Isolated Mandibular Angle Fractures

Mujtaba¹,

Malik²,

Umer

et al. 2022

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Mandibular angle fractures (MAFs) are treated in a variety of ways; however, the standard therapy is still up for debate. Despite the fact that many studies have generated evidence for the appropriate biomechanical stability of 3-D miniplates, there is an insufficient amount of data on the treatment of mandibular angle fractures with these plates. A comparative study was conducted at The Department of Oral and Maxillofacial Surgery, Pakistan Institute of Medical Sciences (PIMS), Islamabad. Patients were randomly divided into two groups of 52 patients each. Patients in group A were treated with 3-D miniplate placement on the lateral cortex following the principle of 3-D fixation proposed by Farmand and Dupoirieux, whereas patients included in group B were treated using 2-D conventional miniplate, placed according to Champy’s line of ideal osteosynthesis. A single surgical team performed the procedure. On the first and seventh post-operative days, the first month, and then the third month after surgery, regular evaluations were conducted. Assessment regarding Post Open Reduction and Internal Fixation (ORIF) occlusion was performed with the help of measuring tools. On the first day post-operative follow-up, 41 (78.8%) patients in group A and 31 (59.6%) patients in group B had satisfactory occlusion. The seventh day post-operative follow-up showed that 43 (82.7%) patients in group A and 41 (78.8%) patients in group B had satisfactory occlusion (p > 0.05). In both treatment groups, the first and third month follow-up evaluations revealed optimal occlusion. In comparison to conventional 2-D miniplate, the 3-D miniplate system produced better results and can be recommended as a better option for the management of mandibular angle fractures.

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Section: Discussionmentioning

confidence: 99%

A Comparison of Post-Operative Occlusion with 3-D vs. 2-D Miniplate Fixation in the Management of Isolated Mandibular Angle Fractures

Mujtaba¹,

Malik²,

Umer

et al. 2022

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“…The presented articles [5][6][7][8][9][10][11] describe the treatment of fractures of the mandible by various modern methods. In all these cases, the technique of bony defect filling with a collagen osteotropic material was used, but the timing of full regeneration of bone tissue was not indicated.…”

Section: Discussionmentioning

confidence: 99%

Complicated Mandible Fracture Treatment With Xenogenic Bone Graft: A Case Report

Diachkova¹,

Popova²,

Arazashvili³

et al. 2022

Preprint

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The problem of filling the bone cavity-forming after tooth extraction remains relevant in maxillo-facial surgery. There is a large selection of osteotropic materials of various natures for filling bone defects. In this article, our experience in the treatment of patients with combined mandible angle fracture and radicular cyst and fractures is introduced. A feature of the treatment is to fill the bone defect with the osteotropic material. Using collagen osteotropic material, possessing osteoconductive property can improve the treatment of patients with mandibular fractures within the dentition. This is due to both the stabilization of the fracture line, a decrease in the likelihood of displacement of fragments along with fixation with devices, and a reduction in the time of bone tissue regeneration, which reduces the rehabilitation period and allows further orthopedic treatment of patients after 4-5 months without additional bone grafting operations.

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“…The experience of many studies shows that patients with mandibular fractures demand an individual approach in the choice of the treatment method, because there may be in a combination with bony lesions of different nature, odontogenic infection, fractures in different areas of the mandible or facile skeleton, etc. [5][6][7][8][9][10]13]. In all these cases, a collagen osteotropic material was used to fill the bony defect.…”

Section: Discussionmentioning

confidence: 99%

“…Grafts of different nature are widely used in traumatology, oncology, surgery, also in oral and maxillofacial surgery [5][6]. There are accurate requirements for graft properties as biological compatibility, absence of unpleasant reactions (allergy, reaction 'transplant against host'), availability and others [5].…”

Section: Introductionmentioning

confidence: 99%

Complicated Mandible Fracture Treatment With Xenogenic Bone Graft: A Case Report

Diachkova¹,

Popova²,

Arazashvili³

et al. 2022

Preprint

View full text Add to dashboard Cite

The problem of filling the bone cavity remains relevant in maxillofacial and oral surgery. There is a large selection of osteotropic materials of various natures for filling of bone defects of different etiology. The aim of our research was to improve the result of surgical treatment in a patient with a complicated mandibular fracture with the use of collagenic xenograft during osteosynthesis. In this article, we introduce our experience in the treatment of a patient with a complicated mandibular angle fracture in a combination with the follicular cyst. The obligate steps of treatment included stabilization of the bony fragments, a decrease of risk in fracture line malposition along with titan mini- plates, and shortening in the time of bone regeneration due to a filling of bone defect with the osteotropic material. This approach allowed us to reduce the rehabilitation period and further prosthetic treatment after 4-5 months without additional bone grafting manipulations. Though, the use of collagen osteotropic material, possessing osteoconductive properties, can improve the treatment of patients with mandibular fractures.

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Treatment of Mandible Fractures Using a Miniplate System: A Retrospective Analysis

Cited by 19 publications

References 25 publications

A Comparison of Post-Operative Occlusion with 3-D vs. 2-D Miniplate Fixation in the Management of Isolated Mandibular Angle Fractures

A Comparison of Post-Operative Occlusion with 3-D vs. 2-D Miniplate Fixation in the Management of Isolated Mandibular Angle Fractures

Complicated Mandible Fracture Treatment With Xenogenic Bone Graft: A Case Report

Complicated Mandible Fracture Treatment With Xenogenic Bone Graft: A Case Report

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