Department of Oral and Maxillofacial Surgeon, Consultant Oral and Maxillofacial Surgeon, Shimla, Himachal Pradesh, India
*Corresponding Author: Priyanka Sharma, Department of Oral and Maxillofacial Surgeon, Consultant Oral and Maxillofacial Surgeon, Shimla, Himachal Pradesh, India.
Received: December 26, 2019; Published: January 31, 2020
Objective: To compare the efficacy of titanium 2-D miniplates and titanium lag screws in treatment of anterior mandibular fracture.
Materials and Methods: A total of 14 patients were treated in our institution with open reduction and internal fixation applying miniplates and lag screws for the anterior mandibular fracture. They were divided equally and randomly into two groups: Group 1 patients were treated with 2-D Titanium miniplates and Group 2 patients with Titanium lag screws. Duration of the surgery was measured from the time of incision placement to the suture placement. Postoperative pain was measured on Wong Baker’s Scale and interfragmentary gaps were assessed using radiographs taken preoperatively and 24 hrs postoperatively. Postoperative complications such as infection, wound dehiscence, exposure, loss of teeth vitality, neurosensory deficit were also documented. Follow up was done at predefined intervals. Results were evaluated using Mann-Whitney test, chi square test, unpaired t-test.
Results: In this study, the mean duration of surgery in case of group 1 patients (2-D miniplates) was approximately 37.86 ± 16.03 min. and in group 2 (lag screws), it was approximately 25.71 ± 7.3 min. The gap difference between the fractured fragments were significantly greater in group 1 (miniplates) than group 2 (lag screws). Lag screw group showed minimal post operative pain and post operative complications.
Conclusion: In this study, lag screws fixation showed better results than miniplates for the fixation of anterior mandibular fractures as it offers advantages of rigid internal fixation apart from being cost effective. It not only reduces time and effort but also assists in primary healing without any major complications.
Keywords: Anterior Mandibular Fractures, Internal Fixation Techniques, Miniplates, Lag Screws, Rigid Internal Fixation.
Citation: Priyanka Sharma. “Comparative Analysis of the Efficacy of Titanium 2-D Miniplates and Titanium Lag Screws in Treatment of Anterior Mandibular Fracture”. Acta Scientific Dental Sciences 4.2 (2020): 129-134.
Copyright: © 2020 Priyanka Sharma. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.