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Bio-Resorbable Plates as Effective Implant in Paediatric Mandibular Fracture

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Abstract

Aim

To evaluate the efficacy of bio-resorbable plates in paediatric mandibular fracture.

Materials and Methods

In the present study, 40 cases of mandibular fractures were treated by Inion Cps plating system using, 2 and 2.5 mm (LPLA/DLPLA/TMC/PGA) bio-resorbable bone plates and screws of 6 and 8 mm screws. The assessment of the patients was done at 2 week, 1, 3, and 6 months using the clinical parameters and bite force recording.

Results

There was significant reduction in pain at different follow-ups. Paraesthesia was found in two patients with body fracture which remained for 2 week and 1 month follow-up. No paraesthesia was found after 3rd follow-up. Significant stability of fracture fragments were found on different follow ups. Implant exposure was present only in two patients (5%) at 1 month follow up. There was significant increase in incisor, right molar and left molar bite force at 1, 3 and 6 months, from 2nd week onwards.

Conclusion

These findings show that the use of bio-resorbable plates in paediatric mandibular fracture was efficacious enough to bear the masticatory loads during osteosynthesis of the fracture. The recent and significant achievement is the advent of bio-resorbable osteosynthesis devices that has almost solved the problems of stress shielding, secondary surgery and corrosion when metal implants are left-in situ.

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Authors and Affiliations

  1. Department of Oral & Maxillofacial Surgery, CSM Medical University, Lucknow, 226003, India

    Geeta Singh, Shadab Mohammad, Norden Lepcha, Nimisha Singh & Laxman R. Malkunje

  2. Department of Pedodontics, CSM Medical University, Lucknow, 226003, India

    R. K. Chak

Authors
  1. Geeta Singh
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  2. Shadab Mohammad
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  3. R. K. Chak
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  4. Norden Lepcha
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  5. Nimisha Singh
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  6. Laxman R. Malkunje
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Correspondence to Geeta Singh.

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Singh, G., Mohammad, S., Chak, R.K. et al. Bio-Resorbable Plates as Effective Implant in Paediatric Mandibular Fracture. J. Maxillofac. Oral Surg. 11, 400–406 (2012). https://doi.org/10.1007/s12663-011-0330-x

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  • DOI: https://doi.org/10.1007/s12663-011-0330-x

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