A Comparative Study of Three Dimensional Stainless Steel Plate Versus Two Dimensional Stainless Steel Miniplate In The Management of Mandibular Symphysis And Parasymphysis Fracture
DOI:
https://doi.org/10.70284/njirm.v9i3.2345Keywords:
Three Dimensional, Stainless Steel Plate, Mandibular Symphysis, ParasymphysisAbstract
Background and Aim: Maxillofacial trauma is very common in all unforeseen events and the unique position of the mandible on the face makes it vulnerable. It is therefore, one of the most commonly fractured facial bones. The aim of this study is to compare 3-Dimensional versus 2-Dimensional Stainless steel miniplates for open reduction and fixation of mandibular symphysis and parasymphysis fracture. Methods: Patients with symphysis and parasymphysis fractures of mandible (unilateral /bilateral) were selected. All patients were treated and observed by the same surgeon. Routine investigations were carried out. Results: There is no statistically significant difference between three dimensional miniplate and twodimensional miniplate osteosynthesis in the open reduction and internal fixation of mandibular symphysis and parasymphysis fractures. Clinically, three-dimensional miniplates were found to be better than two-dimensional miniplates in terms of cost, ease of surgery and operative time. Conclusion: Three-dimensional miniplates were unfavorable for cases where fracture line was oblique and in close proximity to the mental foramen, where they were difficult to adapt and there were more chances for tooth-root damage and inadvertent traction of the mental nerve. Studies with larger sample size are recommended to correlate the findings of the present study for their wider use in clinical practice. [J Doshi, Natl J Integr Res Med, 2018; 9(3):14-20]
References
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11. Iatrou I, Samaras C, Lygidakis N T: Miniplate osteosynthesis for fractures of the edentulous mandible: a clinical study 1989-96 Journal of Cranio-Maxillofacial Surgery (1998) 26, 400404
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13. Joshi U , Kurakar M: Comparison of Stability of Fracture Segments in Mandible Fracture Treated with Different Designs of Mini-Plates Using FEM Analysis; J. Maxillofac. Oral surg
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15. Kim Y K, Nam K W: Treatment of mandibular fractures using Low- profile Titanium miniplates: preliminary study , Journal of plastic and Reconstructive surgery July 2001
16. Kimura A, Nagasao T, Kaneko T : A comparative study of most suitable miniplate fixation for mandibular symphysis fracture using a finite element model; Keio J Med 2006; 55 (1): 1–8
17. Kumar B P, Kumar J ,Mohan A P: A Comparative study of three dimensional stainless steel plate versus stainless steel miniplate in the management of mandibular parasymphysis fracture J.Bio.Innov 1(2), pp: 19-32, 2012
18. Kuriakose M A, Fardy M, Sirikumara M: comparative review of 266 mandibular fractures with internal fixation using rigid (AO/ASIF) plates or mini-plates; British Journal of Oral and Maxillofacial Surgery (1996)34,315-321
19. Michelet FX, Deymes: J. Osteosynthesis with miniaturized screwed plates in Maxillofacial surgery. Journal of Oral Surg. 1:79-84,1973
20. Malhotra K, Sharma A, Giraddi G : Versatility of Titanium 3D Plate in Comparison with Conventional Titanium Miniplate Fixationfor the Management of Mandibular Fracture; J. Maxillofac. Oral Surg. (July-Sept 2012) 11(3):284–290
21. Mittal G , Dubbudu R R, Cariappa K M: Three Dimensional Titanium Mini Plates in Oral & Maxillofacial Surgery: A Prospective Clinical Trial; J. Maxillofac. Oral Surg. (Apr-June 2012) 11(2):152–159
22. Moreno J C, Ferncindez A, Ortiz J A: Complication Rates Associated with Different Treatments for Mandibular Fractures; J Oral Maxillofac Surg 58 273-280 2000
23. Nathan B, Jan D W, Scott L: Clinical and FEA of Low Profile 3D and Parallel Miniplates in Fixation of Mandibular Symphysis and Parasymphysis Fractures; Journal of maxillofacial and Oral Surgery 2008 Vol.7
24. Prasad R, Thangavelu K, John R: The role of 3D plating system in mandibular fractures: a prospective study. Journal of Pharmacy and Bioallied sciences June 2013 Vol 5 Supplement 1
25. Renton T F, Wiesenfeld D : Mandibular fracture osteosynthesisa: comparision f three techniques; ; British Journal of Oral and Maxillofacial Surgery (1996)34,166-173
26. Rix L, Stevenson A R L, Moorthy A P: An analysis of 80 cases of mandibular fractures treated with miniplate osteosynthesis ; Int. J. Oral Maxillofac.Surg. 1991; 20. 337 341.
27. Schmelzeisen R, McIff T , Rahn B: Further development of titanium miniplate fixation for mandibular fractures. Experience gained and questions raised from a prospective clinical pilot study with 2.0 mm fixation plates; Journal of Cranio- Maxillo-Facial Surgery (1992)20,251-256
28. Tuovinen V, Norholt S E, Pedersen S S: A Retrospective Analysis of 279 Patients With Isolated Mandibular Fractures Treated With Titanium Miniplates, J Oral Maxillofac Surg,52;931-935,1994
29. Zix J, Lieger O, Iizukac T: Use of straight and curved 3- Dimensional Titanium miniplates for fracture fixation at the mandibular angle;J Oral Maxillofac Surg 65:1758-1763,2007.
2. Ebenezer V and Ram lingam B: Three dimensional miniplates in Mandibular Angle fractures, Indian Journal of Multidisciplinary Dentistry, Vol. 1, Issue 2, (Jan-Feb 2011):89-92
3. Farmand M, Dupoireux L : The value of 3-dimensional plates in maxillofacial surgery 1992;93(6);353-7
4. Farmand M: The 3-dimensional plate fixation of fractures and osteotomies. Facial Plast Surg 3:39,1995
5. Feledy J: Treatment of mandibular angle fractures with a matrix miniplate: A preliminary report. Plastic and Reconstructive Surgery. 114: 1711-1718,2004
6. Feller K U, Richter G, Schneider M: Combination of microplate and miniplate for osteosynthesis of mandibular fractures: an experimental study Int. J. Oral Maxillofac. Surg. 2002; 31: 78–83
7. Gabrielli M A C, Gabrielli M F R, Marcantonio E, et al: Fixation of Mandibular Fractures With 2.0-mm Miniplates: Review of 191 Cases; J Oral Maxillofac Surg 61:430-436, 2003
8. Gandi L, Kattimani V S: Three dimensional bone plating system in the management of mandibular fractures-a clinical study; Annals and Essences of Dentistry; Vol. IV Issue 2 Apr - Jun (2012), 104-110
9. Gokkulakrishnan S, Singh S, Sharma A: An analysis of postoperative complications and efficacy of 3-D miniplates in fixation of mandibular fractures; Dental Research Journal 2013
10. Guimond C: Fixation of mandibular angle fractures with a 2.0-mm 3-dimensional curved angle strut plate. Journal of Oral Maxillofac. Surg. 63:209-214,2005
11. Iatrou I, Samaras C, Lygidakis N T: Miniplate osteosynthesis for fractures of the edentulous mandible: a clinical study 1989-96 Journal of Cranio-Maxillofacial Surgery (1998) 26, 400404
12. Jain M K, B K Bhagwan B K and shah D K: Comparison of 3dimensional and standard miniplate fixation in the mandibular fracture, American association of oral & maxillofacial surgeon, 2010, 0278-2391/01, 1568-1572.
13. Joshi U , Kurakar M: Comparison of Stability of Fracture Segments in Mandible Fracture Treated with Different Designs of Mini-Plates Using FEM Analysis; J. Maxillofac. Oral surg
14. Khalifa M E, El-Hawary H E, Hussein M M: Titanium Three Dimensional Miniplate versus Conventional Titanium Miniplate in Fixation of AnteriorMandibular Fractures Life Science Journal 2012;9(2)
15. Kim Y K, Nam K W: Treatment of mandibular fractures using Low- profile Titanium miniplates: preliminary study , Journal of plastic and Reconstructive surgery July 2001
16. Kimura A, Nagasao T, Kaneko T : A comparative study of most suitable miniplate fixation for mandibular symphysis fracture using a finite element model; Keio J Med 2006; 55 (1): 1–8
17. Kumar B P, Kumar J ,Mohan A P: A Comparative study of three dimensional stainless steel plate versus stainless steel miniplate in the management of mandibular parasymphysis fracture J.Bio.Innov 1(2), pp: 19-32, 2012
18. Kuriakose M A, Fardy M, Sirikumara M: comparative review of 266 mandibular fractures with internal fixation using rigid (AO/ASIF) plates or mini-plates; British Journal of Oral and Maxillofacial Surgery (1996)34,315-321
19. Michelet FX, Deymes: J. Osteosynthesis with miniaturized screwed plates in Maxillofacial surgery. Journal of Oral Surg. 1:79-84,1973
20. Malhotra K, Sharma A, Giraddi G : Versatility of Titanium 3D Plate in Comparison with Conventional Titanium Miniplate Fixationfor the Management of Mandibular Fracture; J. Maxillofac. Oral Surg. (July-Sept 2012) 11(3):284–290
21. Mittal G , Dubbudu R R, Cariappa K M: Three Dimensional Titanium Mini Plates in Oral & Maxillofacial Surgery: A Prospective Clinical Trial; J. Maxillofac. Oral Surg. (Apr-June 2012) 11(2):152–159
22. Moreno J C, Ferncindez A, Ortiz J A: Complication Rates Associated with Different Treatments for Mandibular Fractures; J Oral Maxillofac Surg 58 273-280 2000
23. Nathan B, Jan D W, Scott L: Clinical and FEA of Low Profile 3D and Parallel Miniplates in Fixation of Mandibular Symphysis and Parasymphysis Fractures; Journal of maxillofacial and Oral Surgery 2008 Vol.7
24. Prasad R, Thangavelu K, John R: The role of 3D plating system in mandibular fractures: a prospective study. Journal of Pharmacy and Bioallied sciences June 2013 Vol 5 Supplement 1
25. Renton T F, Wiesenfeld D : Mandibular fracture osteosynthesisa: comparision f three techniques; ; British Journal of Oral and Maxillofacial Surgery (1996)34,166-173
26. Rix L, Stevenson A R L, Moorthy A P: An analysis of 80 cases of mandibular fractures treated with miniplate osteosynthesis ; Int. J. Oral Maxillofac.Surg. 1991; 20. 337 341.
27. Schmelzeisen R, McIff T , Rahn B: Further development of titanium miniplate fixation for mandibular fractures. Experience gained and questions raised from a prospective clinical pilot study with 2.0 mm fixation plates; Journal of Cranio- Maxillo-Facial Surgery (1992)20,251-256
28. Tuovinen V, Norholt S E, Pedersen S S: A Retrospective Analysis of 279 Patients With Isolated Mandibular Fractures Treated With Titanium Miniplates, J Oral Maxillofac Surg,52;931-935,1994
29. Zix J, Lieger O, Iizukac T: Use of straight and curved 3- Dimensional Titanium miniplates for fracture fixation at the mandibular angle;J Oral Maxillofac Surg 65:1758-1763,2007.
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Published
2018-07-19
How to Cite
Doshi, J., Patel, C., Prajapati, K. J., Modi, D., Shah, D., & Patel, M. (2018). A Comparative Study of Three Dimensional Stainless Steel Plate Versus Two Dimensional Stainless Steel Miniplate In The Management of Mandibular Symphysis And Parasymphysis Fracture. National Journal of Integrated Research in Medicine, 9(3), 14–20. https://doi.org/10.70284/njirm.v9i3.2345
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