Does Random Osteosynthesis Material Affect the Preventive Mandible Plating Osteosynthesis (PMP) During Various...

Area of Science:

• Oral and Maxillofacial Surgery
• Orthopedic Surgery
• Biomaterials Science

Background:

• Open reduction and internal fixation (ORIF) with mandibular plating is common for fractures.
• Prophylactic mandibular plating (PMP) is a rare approach to prevent iatrogenic or pathologic fractures post-surgery.
• Maintaining bone shape, stability, and promoting healing are crucial after mandibular trauma or surgery.

Purpose of the Study:

• To evaluate the necessity and outcomes of prophylactic mandibular plating (PMP).
• To explore bone-related remarks associated with PMP in various mandibular lesion cases.
• To share clinical experience with PMP based on reviewed cases.

Main Methods:

• A retrospective review of 19 cases where PMP was applied over 7 years.
• Evaluation focused on the necessity, outcomes, and bone-related observations of PMP.
• Analysis of fracture occurrence, healing, complications, and plate removal factors.

Main Results:

• No pathologic fractures occurred post-PMP (P<0.05).
• PMP combined with bone grafts enhanced healing.
• Plate standardization was lacking, yet all systems provided bone stability (P>0.05).
• Inflammation was rare (5.3%); plates were removed in 21.1% for dental procedures.
• No correlation found between lesion type, patient demographics, or plating system and outcomes.

Conclusions:

• PMP is not standard but improves bone stability, healing, and reduces adverse bone events.
• Proper bone stability via PMP promotes healing, decreases bending, and minimizes granulation tissue.
• Bone grafts with PMP significantly aided bone healing.
• The need for PMP removal is case-specific.