Conventional 2D miniplate versus 3D four-holed and eight-holed miniplates in the management of mandibular angle fractures

Yadav, Sandeep; Mohanty, Sujata; Sharma, Pankaj; Kohli, Sanchaita; Singh, Chandravir; Dabas, Jitender

doi:10.1016/j.ajoms.2019.12.003

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…Pain with higher VAS readings was recorded immediately postoperatively as a normal finding due to surgical manipulation of the soft tissues, fixation of the fractured segments and postoperative edema. Different studies (16,18,19) reported noticeable reduction of pain by the end of the first month, which is matching with the results of this study. On the contrary, another study (20) mentioned that pain was reduced directly on the first week postoperatively in 50% of patients.…”

Section: Discussionsupporting

confidence: 92%

“…This explanation is coincident with what reported by Khiabani et al, (23) who also added that, the low observed values may be a result of protective neuro-vascular mechanism performed by the central nervous system. Generally, in both groups, values measured at 6 months postoperatively are significantly higher than values recorded at all follow-up periods which is also mentioned in another study (19) . Our results showed that, for all follow-up periods, fractured and non-fractured sides showed no significant difference between both groups, we can relate this again to the matching efficiency of both designs of custom made plates.…”

Section: Discussionsupporting

confidence: 74%

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Comparison between Two Computer Designed Custom Made Miniplates for The Treatment of Mandibular Angle Fractures

et al. 2022

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Purpose: To evaluate the clinical and radiographic outcomes of mandibular angle fractures (MAF), which were managed with two different computer designed custom made miniplates. Materials and Methods: Eight patients complaining of MAF were included in this study and divided into two equal groups. In group 1, the MAF were fixed with regular design custom made miniplates that were adapted at the superior border of external oblique ridge. Patients in group 2 received custom made miniplates with one straight section adapted to the superior border of external oblique ridge and two lateral extensions adapted to the buccal cortex; proximal and distal to the fracture line.Reduction and fixation were performed through intraoral approach. Preoperative evaluation comprised assessment of subjective pain using a visual analogue scale (VAS), maximal interincisal opening (MIO), occlusal relation, maximal bite-force (MBF), and radiographic measures of fractured segments displacement. Follow up was performed along 6 months to detect changes in the same preoperative parameters. Demographic, clinical, and radiographic data were recorded and analyzed statistically. Results: No statistical significant difference was observed between the two computer designed custom made miniplate designs. Conclusion: Using a traditional and modified design custom-made miniplate, MAF may be appropriately managed. The newly designed miniplate is considered a treatment modality in management of MAF.

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