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ORIGINAL CLINICAL STUDIES - COMPARATIVE STUDY: IMPLANTS
Year : 2013  |  Volume : 3  |  Issue : 2  |  Page : 154-159

Conventional 2.0 mm miniplates versus 3-D plates in mandibular fractures


Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Bipin S Sadhwani
Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Asarwa, Ahmedabad - 380 016, Gujarat
India
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DOI: 10.4103/2231-0746.119231

PMID: 24205475

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Aim: To compare and evaluate the treatment outcome and postoperative complications in mandibular fractures using 2- and 3-dimensional miniplates. Materials and Methods: This study consisted of a sample of 28 patients (40 fracture sites) divided randomly but equally (single-blind control trial study) into two groups. Each group contains 14 patients (20 similar fracture sites in each group). Group 1 was treated with open reduction and internal fixation using 3-dimensional (3-D) miniplates. Group II was treated using 2-dimensional (2-D) 2-mm miniplates. Results: Out of 14 patients treated by conventional 2-mm miniplates, 2 patients developed occlusal discrepancy, another 2 had postoperative mobility at fracture site, and 1 developed plate failure and subsequent infection, which was treated by removal of the plate under antibiotic coverage. One patient treated by 3-dimensional plates had tooth damage. Statistical Analysis: Chi-square test. Conclusion: The results of this study suggested that the treatment of mandibular fractures (symphysis, parasymphysis, and angle) with 3-dimensional plates provided 3-dimensional stability and carried low morbidity and infection rates. The only probable limitations of 3-dimensional plates were excessive implant material due to the extra vertical bars incorporated for countering the torque forces.


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