Affordable Access

Access to the full text

Comparison of single versus two non-compression miniplates in the management of unfavourable angle fracture of the mandible: a prospective randomized clinical study

Authors
  • Rai, Anshul1
  • Jain, Anuj1
  • Datarkar, Abhay2
  • 1 All India Institute of Medical Sciences, Department of Trauma and Emergency Medicine, Bhopal, Madhya Pradesh, India , Bhopal (India)
  • 2 Government Dental College, Department of Oral and Maxillofacial Surgery, Nagpur, Maharashtra, India , Nagpur (India)
Type
Published Article
Journal
Oral and Maxillofacial Surgery
Publisher
Springer Berlin Heidelberg
Publication Date
Feb 19, 2018
Volume
22
Issue
2
Pages
157–161
Identifiers
DOI: 10.1007/s10006-018-0684-z
Source
Springer Nature
Keywords
License
Yellow

Abstract

PurposeThe purpose of this study was to compare the efficacy of single versus two non-compression miniplates in the management of unfavourable angle fracture of mandible.Materials and methodsA total of 28 patients who required open reduction of mandibular angle fracture were included in the study. The patients were randomly divided into two groups. Group I comprised of patients treated with two miniplates and those in group II were treated with single non-compression miniplate. The parameters of assessment were malocclusion, surgical site infection, need for implant removal, duration of surgery, inter-incisal mouth opening and cost of implants used, in both the groups. Statistical analysis was carried out to compare all the parameters.ResultsOut of 14 patients in group II, inadequate reduction was noticed in three patients, whereas screw loosening had occurred in two cases. Screw loosening was always associated with chronic infection. In these cases, hardware removal was deemed necessary. Plate bending was observed in two cases resulting in malocclusion and difficulty in eating. Non-union of fracture occurred in one patient treated in group II. In group I, no plate bending, screw loosening, surgical site infection, non-union or malocclusion was observed. No patient had to undergo implant removal in group I.ConclusionIn the management of unfavourable mandibular angle fracture, two miniplates must be preferred over the use of single miniplate as using two miniplates results in better results with minimal complications.

Report this publication

Statistics

Seen <100 times