Shuman, M., Tawfik, B. (2020). Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures. test, 11(3), 89-95. doi: 10.21608/omx.2020.39390.1080
Mohammad Shuman; Bahaa El-Din Tawfik. "Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures". test, 11, 3, 2020, 89-95. doi: 10.21608/omx.2020.39390.1080
Shuman, M., Tawfik, B. (2020). 'Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures', test, 11(3), pp. 89-95. doi: 10.21608/omx.2020.39390.1080
Shuman, M., Tawfik, B. Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures. test, 2020; 11(3): 89-95. doi: 10.21608/omx.2020.39390.1080

Comparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior MandibulComparative Evaluation of Three Different Techniques for Open Reduction and Fixation of Anterior Mandibular Fracturesar Fractures

Egyptian Journal of Oral and Maxillofacial Surgery
Article 2, Volume 11, Issue 3, July 2020, Pages 89-95    PDF (783.56 K)
Document Type: Original Article
DOI: 10.21608/omx.2020.39390.1080
Authors
Mohammad Shuman* ; Bahaa El-Din Tawfik
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Al-Azhar University (Boys), Cairo, Egypt
Abstract
Aim of the study: To compare the safety and efficacy of three different fixation techniques for anterior mandibular fractures,
namely two lag screws, 3D miniplate, and two miniplates.
Methods: In randomized, controlled, trial, we enrolled patients with anterior mandibular fractures. Patients were randomly
allocated to one of the following fixation techniques: group (1): two lag screws, group (2): 3D miniplate and group (3): two
miniplates. All patients were followed-up for six months.
Results: Thirty patients were included. The miniplates group had statistically significant longer time for hardware fixation
than patients in the other two groups (p < 0.00). The frequencies of satisfactory occlusion were numerically higher in lag
screw and 3D plates groups than the miniplates group (p > 0.05). The overall rate of moderate postoperative complications was
significantly higher in miniplates group than lag screw and 3D plate groups at the 1st postoperative week (p = 0.01). On the
1st postoperative months, the overall rate of mild complications was significantly higher in miniplates group than lag screw
and 3D plate groups at the 1st postoperative week and month (p < 0.001).
Conclusion: Fixation with lag screws and 3D plates lead to less frequency and severity of postoperative complications than
fixation with miniplates for anterior mandibular fractures.
Keywords
Anterior Mandibular Fractures; Lag screws; Miniplates; 3D plates
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