RECTANGULAR GRID MINIPLATE VERSUS TWO CONVENTIONAL MINIPLATES FOR TREATMENT OF MANDIBULAR ANGLE FRACTURES (RANDOMIZED CLINICAL TRIAL) | ||
| Alexandria Dental Journal | ||
| Article 13, Volume 48, Issue 2, August 2023, Pages 87-94 PDF (526.19 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2022.139117.1279 | ||
| Authors | ||
| Mohamed Ibrahim Harby* 1; Samraa A. Elsheikh2; Marwa Gamal Noureldin3 | ||
| 1Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
| 2Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt. | ||
| 3Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt | ||
| Abstract | ||
| Introduction: Mandibular fracture is the most common type of trauma with various fixation modalities. One of these modalities is the use three-dimensional miniplates (3D) miniplate system. Objectives: To compare the efficacy of rectangular grid miniplate with two standard miniplates in the management of mandibular angle fractures. Materials and methods: Fourteen patients were randomly divided into two groups each including seven patients. Group A received Rectangular grid miniplate, and group B received two conventional miniplates. Clinical assessment visits are scheduled after 24 hours, one, four, six, and twelve weeks. A radiographic examination was done after twelve weeks to calculate the average bone density along line of fracture. Result: After twelve weeks, both groups had normal occlusion, no wound infection or dehiscence, normal sensory function and a statistically significant reduction in pain intensity (p < 0.001). The average bone density improved statistically significantly in both groups A (p < 0.001) and B (p < 0.001) when comparing post-operative 12 week values to pre-operative values. Conclusion: Rectangular grid miniplate in mandibular angle fractures fixation provides a predictable and stiff fixation option that can withstand functional loads and allow early return of patients normal life. | ||
| Keywords | ||
| Mandibular fracture; Osteosynthesis; Rectangular grid miniplate | ||
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