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The Efficacy of Fixation of Unilateral Mandibular Angle Fracture with Single 3D Plate vs Single Miniplate Using Transbuccal Approach

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Abstract

Introduction

The management of mandibular angle fractures is often challenging and results in the highest rate of complications. The optimal treatment modality still remains controversial. This study was done to compare the treatment outcomes of single 3D plate versus single miniplate.

Objective

The objective was to compare and evaluate the clinical and radiological outcome in patients who underwent treatment with single 3D plate versus single miniplate using transbuccal approach for unilateral angle fractures with other associated mandibular fractures.

Methodology

A randomized control study was done in 12 patients with unilateral angle fracture who were divided into two groups. Group A patients were treated using single 3D plates, and Group B patients were treated using single miniplates. Study parameters were evaluated at different time intervals.

Results

The results of the study showed that postoperatively in Group A, fracture reduction, occlusion and mouth opening were comparatively better than Group B. Hardware failure was seen in one patient in Group B. Postoperative morbidities showed no statistical difference.

Conclusion

The single 3D plates showed a statistically insignificant advantage over single miniplates, although clinically Group A proved better than Group B with respect to the study parameters. Therefore, we recommend the use of single 3D plates for effective unilateral angle fracture treatment. More studies are required to prove the significant statistical significance.

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References

  1. Fonseca RJ, Marciani RD, Hendler BH (2000) Oral and maxillofacial surgery trauma, 1st edn. WB Saunders, Philadelphia

    Google Scholar 

  2. Al-Moraissi EA, Ellis E III (2014) What method for management of unilateral mandibular angle fractures has the lowest rate of postoperative complications? A systematic review and meta-analysis. J Oral Maxillofac Surg 72(11):2197–2211. https://doi.org/10.1016/j.joms.2014.05.023

    Article  PubMed  Google Scholar 

  3. Champy M, Lodde JP, Schmitt R, Jaeger JH, Muster D (1978) Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Oral Maxillofac Surg 1(6):14–21. https://doi.org/10.1016/S0301-0503(78)80062-9

    Article  Google Scholar 

  4. Pal US, Singh RK, Dhasmana S, Das S, Das SK (2013) Use of 3-D plate in displaced angle fracture of mandible. Craniomaxillofac Trauma Reconstr 6(1):25. https://doi.org/10.1055/s-0032-1332211

    Article  PubMed  PubMed Central  Google Scholar 

  5. Dichard A, Klotch DW (1994) Testing biomechanical strength of repairs for the mandibular angle fracture. Laryngoscope 104(2):201–208. https://doi.org/10.1288/00005537-199402000-00014

    Article  CAS  PubMed  Google Scholar 

  6. Kroon FH, Mathisson M, Cordey JR, Rahn BA (1991) The use of miniplates in mandibular fractures: an in vitro study. J Craniomaxillofac Surg 19(5):199–204. https://doi.org/10.1016/S1010-5182(05)80547-5

    Article  CAS  PubMed  Google Scholar 

  7. Levy FE, Smith RW, Odland RM, Marentette LJ (1991) Monocortical miniplate fixation of mandibular angle fractures. Arch Otolaryngol Head Neck Surg 117(2):149–154. https://doi.org/10.1001/archotol.1991.01870140037002

    Article  CAS  PubMed  Google Scholar 

  8. Kalfarentzos EF, Deligianni D, Mitros G, Tyllianakis M (2009) Biomechanical evaluation of plating techniques for fixing mandibular angle fractures: the introduction of a new 3D plate approach. Oral Maxillofac Surg 13(3):139–144. https://doi.org/10.1007/s10006-009-0163-7

    Article  PubMed  Google Scholar 

  9. Guimond C, Johnson JV, Marchena JM (2005) Fixation of mandibular angle fractures with a 2.0-mm 3-dimensional curved angle strut plate. J Oral Maxillofac Surg 63(2):209–214. https://doi.org/10.1016/j.joms.2004.03.018

    Article  PubMed  Google Scholar 

  10. Alkan A, Çelebi N, Özden B, Baş B, İnal S (2007) Biomechanical comparison of different plating techniques in repair of mandibular angle fractures. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104(6):752–756. https://doi.org/10.1016/j.tripleo.2007.03.014

    Article  PubMed  Google Scholar 

  11. Bui P, Demian N, Beetar P (2009) Infection rate in mandibular angle fractures treated with a 2.0-mm 8-hole curved strut plate. J Oral Maxillofac Surg 67(4):804–808. https://doi.org/10.1016/j.joms.2008.08.034

    Article  PubMed  Google Scholar 

  12. Zix J, Lieger O, Iizuka T (2007) Use of straight and curved 3-dimensional titanium miniplates for fracture fixation at the mandibular angle. J Oral Maxillofac Surg 65(9):1758–1763. https://doi.org/10.1016/j.joms.2007.03.013

    Article  PubMed  Google Scholar 

  13. Singh V, Puri P, Arya S, Malik S, Bhagol A (2012) Conventional versus 3-dimensional miniplate in management of mandibular fracture: a prospective randomized study. Otolaryngol Head Neck Surg 147(3):450–455.

    Article  Google Scholar 

  14. Wusiman P, Yarbag A, Wurouzi G, Mijiti A, Moming A (2016) Three dimensional versus standard miniplate fixation in management of mandibular fractures: a systematic review and meta-analysis. J Craniomaxillofac Surg 44(10):1646–1654. https://doi.org/10.1016/j.jcms.2016.07.027

    Article  PubMed  Google Scholar 

  15. Höfer SH, Ha L, Ballon A, Sader R, Landes C (2012) Treatment of mandibular angle fractures–Linea obliqua plate versus grid plate. J Craniomaxillofac Surg 40(8):807–811. https://doi.org/10.1016/j.jcms.2012.02.021

    Article  PubMed  Google Scholar 

  16. Sawatari Y, Marwan H, Alotaibi F, Christensen J, Gannon J, Peleg M (2016) The use of three-dimensional strut plates for the management of mandibular angle fractures: a retrospective analysis of 222 patients. Int J Oral Maxillofac Surg 45(11):1410–1417. https://doi.org/10.1016/j.ijom.2016.05.023

    Article  CAS  PubMed  Google Scholar 

  17. Kanubaddy SR, Devireddy SK, Rayadurgam KK, Gali R, Dasari MR, Pampana S (2016) Management of mandibular angle fractures: single stainless steel linear miniplate versus rectangular grid plate—a prospective randomised study. J Oral Maxillofac Surg 15(4):535–541. https://doi.org/10.1007/s12663-016-0892-8

    Article  Google Scholar 

  18. Gear AJ, Apasova E, Schmitz JP, Schubert W (2005) Treatment modalities for mandibular angle fractures. J Oral Maxillofac Surg 63(5):655–663. https://doi.org/10.1016/j.joms.2004.02.016

    Article  PubMed  Google Scholar 

  19. Laverick S, Siddappa P, Wong H, Patel P, Jones DC (2012) Intraoral external oblique ridge compared with transbuccal lateral cortical plate fixation for the treatment of fractures of the mandibular angle: prospective randomised trial. Br J Oral Maxillofac Surg 50(4):344–349. https://doi.org/10.1016/j.bjoms.2011.06.010

    Article  CAS  PubMed  Google Scholar 

  20. Jain MK, Manjunath KS, Bhagwan BK, Shah DK (2010) Comparison of 3-dimensional and standard miniplate fixation in the management of mandibular fractures. J Maxillofac Surg 68(7):1568–1572. https://doi.org/10.1016/j.joms.2009.07.083

    Article  Google Scholar 

  21. Kale TP, Baliga SD, Ahuja N, Kotrashetti SM (2010) A comparative study between transbuccal and extra-oral approaches in treatment of mandibular fractures. J Oral Maxillofac Surg 9(1):9–12. https://doi.org/10.1007/s12663-010-0026-7

    Article  Google Scholar 

  22. Khandeparker PV, Dhupar V, Khandeparker RV, Jain H, Savant K, Berwal V (2016) Transbuccal versus transoral approach for management of mandibular angle fractures: a prospective, clinical and radiographic study. J Korean Assoc Oral Maxillofac Surg 42(3):144–150. https://doi.org/10.5125/jkaoms.2016.42.3.144

    Article  PubMed  PubMed Central  Google Scholar 

  23. Vineeth K, Lalitha RM, Prasad K, Ranganath K, Shwetha V, Singh J (2013) “A comparative evaluation between single noncompression titanium miniplate and three dimensional titanium miniplate in treatment of mandibular angle fracture”—a randomized prospective study. J Craniomaxillofac Surg 41(2):103–109. https://doi.org/10.1016/j.jcms.2012.05.015

    Article  CAS  PubMed  Google Scholar 

  24. Mahon N (2014) Post-extraction inferior alveolar nerve neurosensory disturbances: a guide to their evaluation and practical management. Ir Dent Assoc 60:241–250

    Google Scholar 

  25. Pyungtanasup K (2008) The epidemiology of mandibular fractures treated at Chiang Mai University Hospital: a review of 198 cases. J Med Assoc Thai 91(6):868–874

    PubMed  Google Scholar 

  26. Pandey V, Bhutia O, Nagori SA, Seith A, Roychoudhury A (2016) Management of mandibular angle fractures using a 1.7 mm 3-dimensional strut plate. J Oral Biol Craniofac Res 6(1):36–41. https://doi.org/10.1016/j.jobcr.2015.11.001

    Article  Google Scholar 

  27. Malhotra K, Sharma A, Giraddi G, Shahi AK (2012) Versatility of titanium 3D plate in comparison with conventional titanium miniplate fixation for the management of mandibular fracture. J Maxillofac Oral Surg 11(3):284–290. https://doi.org/10.1007/s12663-012-0340-3

    Article  PubMed  PubMed Central  Google Scholar 

  28. Al-Moraissi EA, Mounair RM, El-Sharkawy TM, El-Ghareeb TI (2015) Comparison between three-dimensional and standard miniplates in the management of mandibular angle fractures: a prospective, randomized, double-blind, controlled clinical study. Int J Oral Maxillofac Surg 44(3):316–321. https://doi.org/10.1016/j.ijom.2014.10.012

    Article  CAS  PubMed  Google Scholar 

  29. Sadhwani BS, Anchlia S (2013) Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures. Ann Maxillofac Surg 3(2):154.

    Article  Google Scholar 

Download references

Acknowledgments

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Author notes

  1. Nancy Mathew

    Present address: , New Delhi, India

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Christian Dental College, CMC, Ludhiana, Punjab, 141008, India

    Nancy Mathew, Inderjot Singh, Sumir Gandhi, Manisha Solanki & Navpreet Singh Bedi

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Mathew, N., Singh, I., Gandhi, S. et al. The Efficacy of Fixation of Unilateral Mandibular Angle Fracture with Single 3D Plate vs Single Miniplate Using Transbuccal Approach. J. Maxillofac. Oral Surg. 21, 405–412 (2022). https://doi.org/10.1007/s12663-020-01465-1

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