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Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 557–562 | Cite as

Novel Use of Orbita Plates in Mandibular Body Fractures

  • Sonal Anchlia
  • Jigar M. Dhuvad
  • Dhruvi Shukla
  • Rohit Kumar
  • Nisarg Patel
  • Vipul Nagavadiya
Original Article

Abstract

Background

Isolated fractures of the mandibular body separate the dentate border and compress lower border when subjected to masticatory forces. This study aims at evaluating the efficacy of two Orbita plates in Champy’s osteosynthesis lines along with achieving 3D configuration and preventing trauma to mental foramen.

Aims

(1) To achieve a near 3D configuration by fixing the terminal parts of both plates in contact with each other; (2) to preserve the mental nerve within the ellipse created by two Orbita plates; and (3) to prevent damage to the root apices from the upper plate.

Materials and Methods

This study was performed on 20 patients with mandible body fracture through the mental foramina. With the intraoral vestibular approach, two Orbita miniplates were fixed in Champy’s osteosynthesis lines. A geometrically closed quadrangular relationship was achieved in the shape of an ellipse, with the mental nerve emerging from it.

Results

Fracture healing was optimum in all the cases along with satisfactory occlusion. Postoperative intermaxillary fixation was not required. Mental nerve function impairment was insignificant.

Conclusion

This served to achieve satisfactory functional outcomes in patients with mandible body fracture without injury to roots and along with achieving a geometrically close quadrangular relationship even where 3D miniplates cannot be placed.

Keywords

Orbita plate 3D Quadrangular Paresthesia Mandible body fracture 

Notes

Compliance with Ethical Standards

Conflict of interest

No conflict of interest.

Ethical Standard

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institution.

Informed Consent

Informed consent was obtained from all individuals who are involved in this study.

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Sonal Anchlia
    • 1
  • Jigar M. Dhuvad
    • 1
  • Dhruvi Shukla
    • 1
  • Rohit Kumar
    • 1
  • Nisarg Patel
    • 1
  • Vipul Nagavadiya
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryGovernment Dental College and HospitalAsarwa, AhmedabadIndia

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