Titanium three dimensional miniplate versus conventional titanium miniplate in fixation of anteriormandibular fractures. A total of 20 patients were managed by open reduction and internal fixation for fractures of anterior mandible. The patients were randomly divided into two equal Group I: (10 patients) were treated with two 2.0 mm titanium mini-plates, Group II: (10 patients) were treated with 3D rectangular mini-plates. Subsequent postoperative clinical follow up for malocclusion, neurosensory deficit, wound breakdown, infection and presence of mal-union/non union was performed. Postoperative radiographs were taken to assess the gap between fracture segments. All patients were followed up clinically and radiographically for 6 months postoperatively. No problems of wound healing,swelling, discoloration, or discharge were seen during follow-up expect one patient in group I showed slight wound dehiscence. Post-operative radiographic examination revealed that the fracture line could not be detected on the radiographs after 6 months in six patients (60%) patients in group I and eight patients (80%) patients in group II. The 3D mini-plate system is a better and easier method for fixation of mandibular fractures, But there is limitation to use in cases of oblique fractures and those involving the mental nerve.
Titanium three dimensional miniplate versus conventional titanium miniplate in fixation of anteriormandibular fractures
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