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Mandibular Osteosynthesis: A Comparative Evaluation of Two Different Fixation Systems Using 2.0 mm Titanium Miniplates and 3-D Locking Plates

  • Manoj Goyal
  • Karan Marya
  • Sonia Chawla
  • Richa Pandey
Comparative Study

Abstract

Purpose

To compare and evaluate postoperative complications and treatment outcome in mandibular fracture fixation using 2.0 mm titanium miniplates and 3-D locking plates.

Method

Thirty patients were divided randomly into two groups of 15 each (including comminuted and malunited fractures). Group A was treated with open reduction internal fixation using 2.0 mm miniplates and group B with 3-D locking plates.

Results

A total of five complications were observed in four patients: implant exposure and infection in miniplate group and postoperative neurosensory deficit, implant failure and implant exposure in 3-D group.

Conclusion

For fractures in symphysis and parasymphysis region, severely displaced angle fractures and for comminuted fractures 3-D locking plate could be a better option. In the angle and body region a single miniplate fixed according to Champy’s technique is easy to place with less surgical time, less surgical trauma, is more economical and has similar clinical results.

Keywords

3-D locking plate Mandibular fracture Miniplates Malunited 

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Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2011

Authors and Affiliations

  • Manoj Goyal
    • 1
  • Karan Marya
    • 1
  • Sonia Chawla
    • 1
  • Richa Pandey
    • 1
  1. 1.Department of Oral & Maxillofacial SurgerySantosh Dental & Medical College HospitalsGhaziabad (NCR), DelhiIndia

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