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Efficacy of 3D Microplates in the Management of Anterior Mandibular Fractures: A Prospective Study
Dinesh K Jhawar1, N V V Reddy1, Abhinand Potturi1
1Department of Oral and Maxillofacial Surgery, SVS Institute of Dental Sciences, Mahabubnagar, Telangana India.
Aim:
To clinically evaluate the efficacy of 3D microplates for osteosynthesis for stabilization of anterior mandible fractures.
Material And Methods:
This prospective clinical study was conducted on a group of 20 patients who underwent open reduction for fractures of the anterior mandible and fixation using a 1.2-mm 8-holed titanium microplate. Patients were evaluated for various parameters like postoperative occlusion, radiographic accuracy of reduction and healing.
Results:
Operating time ranged from 50 to 90 min depending on associated fractures. Out of 20 patients, 12 patients had condylar fractures, only 6 patients required postoperative MMF, and the other six exhibited satisfactory and stable postoperative dental occlusion. Mouth opening improved gradually. Only 4 patients had paraesthesia and wound dehiscence which resolved by the end of 1 month postoperatively.
Conclusion:
3D microplate system is easier method for fixation of mandibular fractures. The 3D microplate system provides good stability, and operating time is short because of simultaneous stabilization at both superior and inferior borders. The rate of complications is exceptionally low.
