Comparative evaluation of 2.0-mm locking plate system vs 2.0-mm nonlocking plate system for mandibular fracture: a prospective randomized study

Use of the locking 2.0-mm fixation system for treating mandibular fractures with the potential for complications

“…In our study, no occlusal disturbance was verified. Postoperative intermaxillary fixation has been indicated when there is any occlusal discrepancy [17]. In our series, there was an actual increase in the values of the mouth opening over time, and the absence of intermaxillary fixation could have had a positive impact in this regard.…”

“…This finding may be associated with inadequate postoperative patient compliance, which has been reported as a factor that influences the outcome [16,17]. In non-compliant patients, the use of stronger osteosynthesis material is indicated [11].…”

“…A single 2.0-mm locking plate was fixed to each stable fragment, showing efficiency in the treatment of mandibular fractures in patients with the potential for complications. Generally, many surgeons have used two 2.0-mm locking plates [16] that were adapted along Champy's line of ideal osteosynthesis in the treatment of mandibular fractures [17] or a 2.0-mm locking plate and additional conventional miniplates [19]. However, a previous study demonstrated that treating linear mandibular fractures with the use of 2.0-mm locking reconstruction plates, placed at the inferior border of the mandible, could neutralize compression and tensile forces, obviating the use of a second plate at the superior border of the mandible [30].…”

“…Some studies have compared standard 2.0-mm monocortical plates to 2.0-mm locking plates in the treatment of mandibular fractures and reported similar short-term complication rates [16][17][18]. However, the use of a 2.0-mm locking plate system has been considered a viable alternative to conventional miniplates http://dx.doi.org/10.1016/j.ajoms.2015.06.003 2212-5558/© 2015 Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI.…”

Study of Efficacy and the Comparison Between 2.0 mm Locking Plating System and 2.0 mm Standard Plating System in Mandibular Fractures

“…Singh et al [29] did a prospective randomized clinical trial to evaluate the efficacy of a 2.0-mm locking plate/ screw system compared with a 2.0-mm non-locking plate/ screw system in mandibular fractures. Two complications occurred in the locking group and five in the nonlocking group with complication rates equalling 6 and 13 %, respectively.…”