Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 6 Issue 8

Management Strategies of Isolated Mandibular Fractures Using 3D and 2D Miniplating System with Clinical and Radiographic Evaluation - A Comparative Study

Amith KP*, Anuradha M, KSN Siva Bharani, Shubhalakshmi SL and Gautam T

Department of Maxillofacial Surgery, RGUHS, India

*Corresponding Author: Amith KP, Department of Maxillofacial Surgery, RGUHS, India.

Received: June 20, 2022; Published: July 11, 2022

Abstract

Aim and Objective: This study is Clinical and radiographic evaluation of 3D miniplate and 2D miniplate fixation in the management of isolated mandibular fractures - A comparative study. 1. Advantages. 2. Treatment outcome. 3. Stability. 4. Comparison of drawbacks of two different plating system in the management of isolated mandibular fractures.

Materials and Method: The present study was to evaluate the comparison of 2mm 3D titanium miniplates with 2 mm 2D titanium miniplates in isolated mandibular fractures. This study was conducted for the period of September 2018 to September 2020 at the Department of Maxillofacial surgery, College of Dental Sciences, Davanagere. Patient who fulfilled the inclusion criteria were treated by open - reduction and internal fixation using 2 mm 3D titanium miniplates and 2 mm 2D titanium miniplates with 2 mm X 8 mm or 2 mm X 6 mm length monocortical screws. Post-operatively patients were assessed for Presence or absence of infection, swelling or local inflammation, mal union/Fibrous union, Implant failure, postoperative mobility at fracture site. Post-operatively fracture healing assessed using digital orthpantamograph and was compared between 2 mm titanium 2D miniplate and 2 mm 3D miniplate.

Results: In our study radiological assessment was done by measuring maximum distance between two fracture segments were obtained using annova test, in respective pre-operative and post-operative radiographic views. The maximum distance between two fractures segments in isolated mandibular fractures were assessed in orthopantamograph using vernier calliper. An outstanding Difference was noted between two plating systems used in treatment protocol. 2 mm 3Dimensional miniplate has higher significance when compared to the 2 mm conventional miniplate system. Also, clinical assessment was done with post-operative mobility, infection, Malunion/Non-union and hardware loosening showed 3D plates have better outcome than 2D Miniplates.

Keywords:2Dimensional Miniplate (2D Miniplate); 3Dimensional Miniplate (3D Miniplate); Maxillomandibular Fixation (MMF); Orthopantomogram (OPG); Road Traffic Accident (RTA); Open Reduction and Internal Fixation (ORIF)

References

  1. Yogesh Mittal., et al. “A Comparative study of 3-Dimensional titanium miniplates for open reduction and internal fixation of mandibular parasymphysis fracture”. Journal of Oral and Maxillofacial Surgery (2015).
  2. Allareddy V., et al. “Epidemiology of facial fracture injuries”. Journal of Oral and Maxillofacial Surgery 69 (2011): 2613-2618.
  3. Vyas A., et al. “A study of mandibular fractures over a 5-year period of time: a retrospective study”. Contemporary Clinical Dentistry 4 (2014): 452e5.
  4. Gear AJ., et al. “Treatment modalities for mandibular angle fractures”. Journal of Oral and Maxillofacial Surgery 5 (2005): 655e63.
  5. Ellis 3rd “Treatment of mandibular angle fractures using the AO reconstruction plate”. Journal of Oral and Maxillofacial Surgery 51.3 (1993): 250e4.
  6. Ellis 3rd “A prospective study of 3 treatment methods for isolated fractures of the mandibular angle”. Journal of Oral and Maxillofacial Surgery 68.11 (2010): 2743e54.
  7. Ellis 3rd E and Ghali GE. “Lag screw fixation of mandibular angle fractures”. Journal of Oral and Maxillofacial Surgery 3 (1991): 234e43.
  8. Ellis 3rd E Walker LR. “Treatment of mandibular angle fractures using one noncompression miniplate”. Journal of Oral and Maxillofacial Surgery 7 (1996): 864e71.
  9. Schmoker R., et al. “Application of functionally stable fixation in maxillofacial surgery according to the ASIF principles”. Journal of Oral and Maxillofacial Surgery 7 (1982): 457e61.
  10. Levy FE., et al. “Monocortical miniplate fixation of mandibular angle fractures”. Archives of Otorhinolaryngology-Head and Neck Surgery 2 (1991): 149e54.
  11. Schierle HP., et al. “One- or two plate fixation of mandibular angle fractures?” Journal of Cranio-Maxillofacial Surgery3 (1997): 162e8.
  12. Guimond C., et al. “Fixation of mandibular angle fractures with a 2.0-mm 3-dimensional curved angle strut plate”. Journal of Oral and Maxillofacial Surgery 2 (2005): 209-214.
  13. Mohammad Ali R Patel., et al. “Comparison of 2D vs 3D miniplates in the management of anterior mandibular fractures - comparative study”. RGUHS Journal of Medical Sciences 2 (2016): 66-70.
  14. Silajiding K., et al. “Three dimensional versus standard miniplate fixation in the management of mandibular fractures: A meta-analysis of randomized controlled trials”. The Kaohsiung Journal of Medical Sciences 9 (2017): 464-472.
  15. Frans HM Kroon., et al. “The use of miniplates in mandibular fractures”. Journal of Cranio-Maxillofacial Surgery 19 (1999): 199-204.
  16. Seiji Nakamura., et al. “Complications of miniplate Osteo-synthesis for mandibular fractures”. Journal of Oral and Maxillofacial Surgery 52 (1994): 223-238.
  17. F Ian MD., et al. “Prospective comparison of panoramic tomography and helical compared tomography in the diagnosis and operative management of mandibular fractures”. Journal of Plastic and Reconstructive Surgery6 (2001).
  18. Alper Alkan., et al. “Biomechanical comparison of different plating technique in repair of mandibular angle fractures”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 104 (2007): 752-756.
  19. Zix Juergen., et al. “Use of straight and curved 3-dimensional titanium miniplates for fracture fixation at the mandibular angle”. Journal of Oral and maxillofacial surgery9 (2007): 1758-1763.
  20. Manoj Kumar Jain., et al. “Management of mandibular interforaminal fractures using 3-Dimensional locking and standard titanium miniplates-A comparative preliminary report of 10 cases”. Journal of Cranio-Maxillo-Facial Surgery 40 (2012): 475-478.
  21. Manoj Goyal., et al. “Mandibular osteosynthesis: A comparative evaluation two different fixation using 2.0 mm titanium miniplates and 3D locking plates”. Journal of Oral and Maxillofacial Surgery 1 (2011): 32-37.
  22. Khalid Ansari MD., et al. “A comparison of anterior vs posterior isolated mandible fractures treated with inter-maxillary fixation screws”. Journal of Archives of facial plastic surgery 4 (2011).
  23. Balakrishnan R., et al. “Three-Dimensional titanium miniplates in management of mandibular fracutures”. Biomedical and Pharmacology Journal1 (2014): 241-246.
  24. Gaurav Mittal., et al. “Three-dimensional titanium mini plates in oral and maxilla-facial surgery: A prosoective clinical trial”. Journal of Oral and Maxillofacial Surgery 2 (2012): 152-159.
  25. Sadhasivam Gokkulakrishnan., et al. “An Analysis of postoperative complications and efficacy of 3-D miniplates in fixation of mandibular fractures”. Dental research Journal2 (2012): 414-421.
  26. Mahmoud E Khalifa., et al. “Titanium three dimensional miniplate versus conventional titanium miniplae miniplate in fixation of anterior mandibular fractures”. Life Sciences Journal2 (2012): 1006-1010.
  27. Pavan Kumar B., et al. “A comparative study of three-dimensional stainless-steel plate versus stainless steel miniplate in the management of mandibular parasymphysis fracture”. Journal of Bio Innovation 1.2 (2012): 19-32.
  28. Manoj Kumar Jain., et al. “Management of mandibular interforaminal fractures using 3-Dimensional locking and standard titanium miniplates-A comparative preliminary report of 10 cases”. Journal of Cranio-Maxillo-Facial Surgery 40 (2012): 475-478.
  29. Virendra Singh., et al. “Conventional versus 3-Dimensional miniplate in management of mandibular fractures: A Prospective Randomized study”. Journal of Otolaryngology - Head and Neck Surgery 3 (2012): 450-455.
  30. Vineet KRM Lalitha., et al. “A comparative evaluation between single non compression titanium miniplate and three dimensional miniplate in treatment of mandibular angle fracture - a randomized prospective study”. Journal of Cranio-Maxillo-Facial Surgery 41 (2013): 103-109.
  31. Uma Shankar Pal., et al. “Use of 3-D plate in displaced angle fracture of mandible”. Craniomaxillofac Trauma Reconstruction 6 (2013): 25-30.
  32. Rajendra Prasad., et al. “The role of 3D plating system in mandibular fractures: A prospective study”. Journal of Bio allied Sciences1 (2013).
  33. Bipin S Sadhwani and Sonal Anchlia. “Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures”. Comparative Study: Annals of Maxillofacial Surgery 2 (2013): 154-159.
  34. Dhananjay H Barde., et al. “Efficacy of 3-dimensional plates over champys plates in mandibular anterior fractures”. Journal of International Oral Health1 (2014): 20-26.
  35. Sehgal Saumya., et al. “Three-dimensional v/s standard titanium miniplate fixation in the management of mandibular fractures - A randomized clinical study”. Journal of Cranio-Maxillofacial Surgery7 (2014): 1292-1299.
  36. Al-Moraissi EA., et al. “Comparison between three-dimensional and standard miniplates in the management of mandibular angle fractures: a prospective, randomized, double-blind, controlled clinical study”. International Journal of Oral and Maxillofacial Surgery3 (2015): 316-321.
  37. Al-Tairi NH., et al. “Comparison of three - dimensional plate versus double miniplate osteosynthesis for treatment of unfavourable mandibular angle fractures”. Tanta Dental Journal 12 (2015): 89-98.
  38. Kamal Malhotra., et al. “Versatality of titanium 3D plate in comparision with conventional titanium miniplate fixation for the management of mandibular fracture”. Journal of Oral and Maxillofacial Surgery 3 (2012): 284-290.
  39. Kubila Silajiding., et al. “Three dimensional versus standard miniplate fixation in the management of mandibular fractures: A meta-analysis of randomized controlled trials”. Kaohsiung Journal of Medical Sciences (2017).
  40. Farooque Iqbal Siddiqui., et al. “Management of Anterior Mandibular Fractures Using Two Different Fixation Methods”. Archives of CraniOrofacial Sciences 2 (2016): 4-9.
  41. Mohammad Ali R Patel., et al. “Comparision of 2D vs 3D miniplates in the management of anterior mandibular fractures - a comparative study 6.2 (2016): 66-70.
  42. Mohamed El-Essawy MD., et al. “Evaluation of the Role of Three-Dimensional Miniplate Technique in Internal Fixation of Mandibular Fractures”. Journal of Plastic and Reconstructive Surgery 2 (2017): 301-309.
  43. Yong Liu1., et al. “The 3-dimensional miniplate is more effective than the standard miniplate for the management of mandibular fractures: a meta-analysis”. European Journal of Medical Research 22 (2017): 5.
  44. Revati Singh., et al. “Comparative Study of 3 Dimensional and Standard Miniplate in Management of Anterior Mandibular Fractures”. International Journal of Contemporary Medical Research8 (2019): H5-H11.
  45. Vivek Singh and Ritesh Giri. “ADEQUACY OF THREE DIMENSIONAL MINIPLATES IN TREATMENT OF MANDIBULAR FRACTURE IN INTERFORAMINAL REGION”. Journal of Chitwan Medical College28 (2019): 97-102.
  46. NK Sahoo and Ritu Mohan. “An ideal intermaxillary fixation device during open reduction of mandibular fractures”. Journal of Oral and Maxillofacial Surgery 2 (2010): 170-172.

Citation

Citation: Amith KP.,et al. “Management Strategies of Isolated Mandibular Fractures Using 3D and 2D Miniplating System with Clinical and Radiographic Evaluation - A Comparative Study". Acta Scientific Dental Sciences 6.8 (2022): 60-66.

Copyright

Copyright: © 2022 Amith KP., et al. 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.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

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