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Comparative Evaluation of 3d Locking Versus Non-Locking Titanium Miniplates in the Treatment of Mandibular Fracture

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The introduction of 3-dimension systems for the treatment of mandibular fractures and continuity has offered certain advantages over other plating system. The present study was undertaken to compare 2.0 mm 3D titanium locking and non-locking miniplates in the management of mandibular fractures. A prospective study was conducted on 40 patients (20 in each group) of mandibular fractures treated by open reduction and internal fixation. Group A patients underwent osteosynthesis using 2.0 mm 3-D titanium locking miniplates while Group B used non-locking miniplates. Subsequent follow-up was assessed for pain, swelling, infection, paresthesia, malocclusion, mobility between fracture fragments and hardware failure in these patients. Functional occlusion was achieved postoperatively in all the patients. At 12 weeks of the time intervals, significant pain was observed in group B. At 1 week interval, 6 (30%) patients in both groups reported with swelling. Only one (10%) patient in each group had paresthesia which got resolved gradually over a period of 3 months. Infection was observed in only 2 (10%) patient in Group B at 3 months. Only 2 (10%) patient in Group B had hardware failure at 3 months interval. Statistically, there was no significant difference between both the groups at any time interval (p > 0.05). 3D titanium locking miniplates are effective in the treatment of mandibular fractures with lesser overall complications as compared to non-locking miniplates.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Teerthanker Mahaveer Dental College and Hospital, Uttar Pradesh- 244001, Moradabad, India

    Mohsin Khan

  2. Department of Oral and Maxillofacial Surgery, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, 834009, India

    Vishal

  3. Department of Oral and Maxillofacial Surgery, Awadh Dental College and Hospital, Jamshedpur, Jharkhand, 831001, India

    Ashish Kumar

  4. Department of Oral Medicine and Radiology Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, 834009, India

    Tanya Khaitan

  5. Department of Prosthodontics, Crown and Bridge & Oral Implantology, Dental Institute, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, 834009, India

    Dharmendra Kumar Sinha

  6. Department of Dentistry Patliputra Medical College and Hospital, Dhanbad, Jharkhand, 826001, India

    Chandan Kumar

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  1. Mohsin Khan
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  2. Vishal
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  3. Ashish Kumar
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  4. Tanya Khaitan
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  5. Dharmendra Kumar Sinha
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  6. Chandan Kumar
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Correspondence to Vishal.

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Khan, M., Vishal, Kumar, A. et al. Comparative Evaluation of 3d Locking Versus Non-Locking Titanium Miniplates in the Treatment of Mandibular Fracture. Indian J Otolaryngol Head Neck Surg 72, 363–369 (2020). https://doi.org/10.1007/s12070-020-01884-z

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  • DOI: https://doi.org/10.1007/s12070-020-01884-z

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