Versatility of Titanium 3D Plate in Comparison with Conventional Titanium Miniplate Fixation for the Management of Mandibular Fracture

Abstract

Background In the present study, 20 patients with mandibular fracture were included to evaluate the versatility of titanium 3D plate in comparison with conventional titanium miniplate fixation. Methods The patients were alternatively allocated to either the 3D plate group or Miniplate group. The patients were evaluated for the clinical assessment of mobility after fixation, pre and post-surgical occlusal relationship, adequacy of reduction on post operative radiograph and any post surgical complications. Results All 25 fractures in 20 patients were found to be adequately fixed when checked intra-operatively. No postoperative IMF was required in either of the groups. The mean radiographic score at post operative time interval in Miniplate group was found to be 2.80 ± 0.42 and in 3D Plate was found to be 2.90 ± 0.32. The mean radiographic score at 3 months time interval in Miniplate group was found to be 2.70 ± 0.48 and in 3D Plate was found to be 2.70 ± 0.48. Radiolucency at 3 months period was found in 1 patient (10%) in the miniplate group and it was not found in any patients in the 3D plate group. None of the patients in both the groups had complications of non-union or mal-union. In miniplate group, 2 patients (20%) had infections and in 3D plate group 1 patient (10%) had infection. 3 patients in miniplate group had occlusal discrepancies (30%) and 1 patient in 3D plate group had occlusal discrepancies (10%). Overall, complications were found in 6 patients (60%) in miniplate group and 2 patients (20%) in 3D plate group. The data when compared was statistically significant (P \ 0.05). ConclusionThe 3D plating system was found to be advantageous over conventional miniplates. It uses lesser foreign material, reduces the operation time and overall cost of the treatment. Thus 3D plate can be used as an alternative to conventional miniplates. The system is reliable and effective treatment modality for mandibular fractures.

Standard 3D Titanium Miniplate Versus Locking 3D Miniplate in Fracture of Mandible: A Prospective Comparative Study

“…At the end of 3 months both groups had completely satisfactory bone healing. A similar healing period was evident on radiographic assessment criteria mentioned by Bouloux et al [1] and Malhotra et al [22] in their comparative study on 3D plates versus miniplates.…”

Evaluation of Fixation Techniques in Anterior Mandibular Fracture Using Three Dimensional Plates versus Conventional Miniplates

“…These results were highly significant at all post operative period in our study. A result of this study is in accordance with study of Jain et al (31) Malhort et al (18) and Khalifa et al (32) .…”

“…This was assessed using a score from 1 to 3 as descried by Malhorta et a1. (18) . Score 3: Radiological evidence of precise anatomic reduction in the fracture site.…”

Adequacy of Three Dimensional Miniplate In Treatment Of Mandibular Fracture In Interforaminal Region

“…Radiograph was taken preoperatively, on 1 st postoperative day ( Figure 2) and on 90 th postoperative day ( Figure 3). Radiological Assessment with Postoperative Radiographs (OPG) was done according to Malhotra et al 8 and scores given as shown in Table 1. Satisfactory No discrepancy between pre trauma occlusion and postoperative occlusion in molar or canine region Mildly deranged Discrepancy of 1 -2mm between pre trauma occlusion and postoperative occlusion in molar or canine region Deranged Discrepancy more than 2mm between pre trauma occlusion and postoperative occlusion in molar or canine region…”