Conventional versus 3‐Dimensional Miniplate in Management of Mandibular Fracture

Abstract

No major difference in terms of treatment outcome is observed in both systems, and both are equally effective in managing mandibular fracture.

Comparison between three-dimensional and standard miniplates in the management of mandibular angle fractures: a prospective, randomized, double-blind, controlled clinical study

“…7,8,13,17,18 Another common aetiology of fracture was road traffic accident, as also reported in other studies. 10,[19][20][21] In the present study, the time taken for adaptation of the plate in MAFs was less in group B (33 AE 4.6 min) than in group A (39.7 AE 9.1 min). Other studies have also reported that the 3D plating system procedure takes longer as compared with the standard miniplate procedure in the angle region.…”

“…This is in accordance with the results reported in the published literature. 10,18,21 Concerning sensory changes of the inferior alveolar nerve, no patient in either group showed evidence of paraesthesia at the end of 6 months postoperatively. Similar results have been reported by other authors.…”

“…This is also in agreement with other studies. 10,18,21,22 One patient in group B showed wound dehiscence; others studies 10,18,21,22 have reported that wound dehiscence is usually less or nil with the 3D plating system as compared to other plating systems. Wound dehiscence is attributed to the proximity of the plate to the incision.…”

“…19 In the current study, malocclusion was not observed in any case in either study group, which is in agreement with previous reports. 10,13,19,21 However, in other studies, 15,18,23 malocclusion has ranged from 0% to 20% when a single plate has been used. Based on our study, it is evident that the chances of achieving good occlusion with the 3D plating system are relatively high.…”

“…A systematic review and meta-analysis of six studies 10,12,17,18,20,21 comparing 3D geometric plates to miniplates placed according to Champy's principles was recently published. 1,24 It was concluded that there is a lower complication rate with the use of 3D miniplate fixation in comparison with the use of standard miniplate fixation in the management of MAFs.…”