Evaluation of Condylar Position after ORIF of Anterior Mandibular Fractures Using 3 Dimensional Miniplate Versus Conventional Miniplates: A Randomized Clinical Trial | ||||
| Egyptian Journal of Oral and Maxillofacial Surgery | ||||
| Article 1, Volume 12, Issue 1, January 2021, Page 1-13 PDF (1.33 MB) | ||||
| Document Type: Original Article | ||||
| DOI: DOI:10.21608/omx.2021.78106.1120 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Omar Mohammad  1; Essam Ashour2; Fahmy Hassanein3
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| 1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Cairo University, Egypt | ||||
| 2Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, October 6 University , Egypt | ||||
| 3Department of Oral and Maxillofacial Surgery, Faculty of Dentistry,Cairo University, Egypt | ||||
| Abstract | ||||
| Purpose: This study aimed to compare radiographically and clinically the single 3-D miniplate and the conventional two miniplates in ORIF of anterior mandibular fractures. Materials and Methods: Thirty patients with isolated anterior mandibular fractures were randomly divided into 2 equal groups. ORIF was accomplished in the study group using single 3D miniplates and in the control group using two conventional miniplates. All patients were radiographically evaluated using OPGs and Multislice CT scans (preoperative, immediately and at 3 months postoperative) to assess condylar position regarding (intercondylar distance and intercondylar angle). Clinical parameters evaluated were intraoperative time, occlusion and rigidity of fixation. Results: Functionally successful osteosynthesis had been achieved in both groups. The 3D miniplates required statistically significant less intraoperative time than the two miniplates. The 3D miniplates recorded less intercondylar distance and higher intercondylar angle than the two miniplates although the difference was statistically insignificant. Conclusion: The quadrangular geometry of the 3-Dimensional miniplate guarantees comparable fixation rigidity and segment stability and accordingly should be considered an alternative for ORIF of anterior mandibular fractures with the superior advantage of reduced operative time. The 3-Dimensional miniplates provided superior restoration of post-operative condylar position and inter-condylar distance compared to the conventional two miniplates although the difference was statistically insignificant. | ||||
| Keywords | ||||
| Anterior mandibular fractures; 3D plates; miniplates; condylar position changes | ||||
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