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

Review Article Volume 8 Issue 4

Comparative Evaluation of the Efficacy of Double Y-Shaped Miniplate Versus Conventional Miniplates for the Treatment of Mandibular Anterior Fractures

Sahnazul Hoque Talukdar1*, Tahura Killedar2, Kiran Kumar3, Mohammed Shahid Halawala4, Armaan Amin Wani5

1Oral and Maxillofacial Surgeon, Nilambazar, Karimganj, Assam, India
2Dental Surgeon, India
3Oral and Maxillofacial Surgeon, Egypt

*Corresponding Author: Sahnazul Hoque Talukdar, Oral and Maxillofacial Surgeon, Nilambazar, Karimganj, Assam, India.

Received: February 14, 2024; Published: March 07, 2024

Abstract

Introduction: Open reduction and internal fixation are generally the treatment of choice for symphysis and parasymphysis fractures of the mandible, although closed treatment is still an acceptable alternative for select patients with simple nondisplaced fractures. Conventionally, two miniplate systems are used for the fracture fixation in the anterior region of the mandible, but one larger plate, with or without arch bar, is the accepted alternative to the two miniplate systems.

Objectives: To evaluate and compare the efficacy and clinical outcome in the treatment of mandibular anterior region fractures with double Y-Shaped miniplate and Conventional miniplates.

Materials and Methods: Patients were randomly divided into Group A (ten patients) and Group B (ten patients) by using table of random numbers. Patients between the age group of 18 – 60 years were selected after fulfilling the inclusion and exclusion criteria and obtaining written consent. In group A, fracture fixation with conventional two miniplates and in group B, fracture fixation was done with Double Y shaped miniplate.

Results: Intraoperatively, ease of plate handling and the duration of fixation were evaluated. Post operatively, the stability of the fracture fragments, occlusion, maximum mouth opening and post operative complications were assessed at immediate post operative period, one month, three months and six months. There was no statistically significant difference among the groups with constant P value of 1. None of the patients in both the groups had complications of non-union, mal-union, hardware failure and wound dehiscence.

Conclusion: This study showed both the conventional miniplate and the Double Y shaped miniplate are successful in the treatment of anterior mandible fractures. Both plates exhibited excellent fracture stability, which is necessary for seamless fracture healing.

Keywords: Telemedicine; Teledentistry; Remote Patient; Video Conferencing; Technological Support for Tele Dentistry

References

  1. Stang A., et al. “Undescended testis and the risk of testicular cancer: importance of source and classification of exposure information”. International Journal of Epidemiology 5 (2001): 1050-1056.
  2. Tasian GE and Copp HL. “Diagnostic performance of ultrasound in nonpalpable cryptorchidism: a systematic review and metaanalysis”. Pediatrics1 (2011): 119-128.
  3. Krishnaswami S., et al. “Magnetic resonance imaging for locating nonpalpable undescended testicles: a meta-analysis”. Pediatrics 6 (2013): e1908-1916.
  4. Kurz D. “Current Management of Undescended Testes”. Current Treatment Options in Pediatrics 1 (2016): 43-51.
  5. Hutson M., et al. “Evolution of Descent of the Testis and Early History of Research”. In: Descent of the Testis. Springer, Cham (2016).
  6. Shehata SM. “Laparoscopically assisted gradual controlled traction on the testicular vessels: a new concept in the management of abdominal testis. A preliminary report”. European Journal of Pediatric Surgery 6 (2008): 402-406.
  7. AbdElsalam M., et al. “Role of Laparoscopy in Management of Non-Palpable Undescended Testis in Children”. The Egyptian Journal of Hospital Medicine76 (2019): 3454-3459.
  8. Rafik Shalaby., et al. “Needlescopic Appendectomy in Children and Adolescents Using 14-Gauge Needles: A New Era”. Journal of Laparoendoscopic and Advanced Surgical Techniques 4 (2021): 497-504.
  9. Shalaby R., et al. “Needlescopic Disconnection and Peritoneal Closure for Pediatric Inguinal Hernia Repair: A Novel Technique”. Surgical Laparoscopy, Endoscopy and Percutaneous Tech2 (2021): 272-278.
  10. Ismail M., et al. “Needlescopic cholecystectomy using 14-gauge needles: a feasible and safe approach in children”. Journal of Pediatric Endoscopic Surgery 4 (2022): 161-165.
  11. Gagner M and Garcia-Ruiz A. “Technical aspects of minimally invasive abdominal surgery performed with needlescopic instruments”. Surgical Laparoscopy Endoscopy 3 (1998): 171-179.
  12. Ismail K., et al. “Laparoscopy in the management of impalpable testis: series of 64 cases”. World Journal of Surgery 7 (2009): 1514-1519.
  13. Elsherbeny M., et al. “Staged laparoscopic traction orchiopexy for intra-abdominal testis: Is it always feasible?” Journal of Pediatric Urology 3 (2018): 267.e1-267.e4.
  14. Shehata S., et al. “Staged laparoscopic traction-orchiopexy for intraabdominal testis (Shehata technique): Stretching the limits for preservation of testicular vasculature”. Journal of Pediatric Surgery 2 (2016): 211-215.
  15. Aljunaibi A., et al. “Modified Traction Technique for Intraabdominal Testes with Short Vessels”. Urology 165 (2022): 351-355.

Citation

Citation: Sahnazul Hoque Talukdar., et al. “Comparative Evaluation of the Efficacy of Double Y-Shaped Miniplate Versus Conventional Miniplates for the Treatment of Mandibular Anterior Fractures".Acta Scientific Dental Sciences 8.4 (2024): 26-39.

Copyright

Copyright: © 2024 Sahnazul Hoque Talukdar., 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

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US









ff

© 2024 Acta Scientific, All rights reserved.