Udit Prakash¹*, Moin Iftikhar Shapoo¹, Peyush Pratap Singh Sikarwar², Bhavika Pol Vhatkar³, Ayush Garg⁴ and Priya Yadav⁵

¹Assistant Professor, Department of Oral and Maxillofacial Surgery, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India
²Department of Oral and Maxillofacial Surgery, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India
³Assistant Professor, Oral Medicine and Radiology Department, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India
⁴Resident, OMFS Jaipur, India
⁵PG Third Year Resident, Department of Oral and Maxillofacial Surgery, People's College of Dental Science and Research Centre, Bhopal, India

*Corresponding Author: Udit Prakash, Assistant Professor, Department of Oral and Maxillofacial Surgery, Maharana Pratap College of Dentistry and Research Centre, Gwalior, Madhya Pradesh, India.

Received: July 16, 2021; Published: July 29, 2021

Abstract

Introduction: For a long time Champy’s Miniplates and Lag screws remained as primary methods of fixation of mandibular fractures. Both miniplates and lag screws have their specific advantages. This prospective study was conducted to compare the efficacy and surgical outcomes of treatment of mandibular fractures using either titanium miniplates or titanium lag screws for internal fixation.

Materials and Methods: 200 patients were selected for the study and they were evaluated pre and post-operatively on various parameters. Patients were divided equally into two groups. One group was treated with titanium miniplates (group M) and other group by titanium lag screws (group L). Operating time was recorded and post-operative complications were observed over regular interval of time.

Results: Mean preoperative distance at various points on fracture line in group M was 1.7930, 2.6440, 2.4330 respectively while in group L it was 2.7560, 2.4950, 2.2230 respectively. There was significant decrease in distance between fracture segments postoperatively. The mean operative time for titanium lag screw fixation was 80.10 mins while for miniplates it was 100.50 mins. Post-operative complications were less in group L when compared to group M.

Conclusion: Lag screw has definite advantage over miniplates in terms of time duration of surgery, proper reduction and postoperative complications.

Keywords: Titanium Miniplates; Titanium Lag Screws; Mandibular Symphysis; Parasymphysis Fractures

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Citation

Citation: Udit Prakash., et al. “Comparison between Treatment Outcomes of Titanium Miniplates and Titanium Lag Screws in Fixation of Mandibular Symphysis and Parasymphysis Fractures".Acta Scientific Otolaryngology 3.8 (2020): 139-146.

Copyright

Copyright: © 2020 Udit Prakash., 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.