Use of 3-d plate in displaced angle fracture of mandible.

Craniomaxillofac Trauma Reconstr

Department of Oral and Maxillofacial Surgery ; Department of Dental Sciences.

Published: March 2013

AI Article Synopsis

  • Mandibular angle fractures often require treatment, but traditional methods may not effectively stabilize displaced fragments due to masticatory forces.
  • This study evaluates the effectiveness of 3-D miniplate fixation in treating these fractures in 18 patients, done transorally under general anesthesia.
  • Results showed successful treatment with common complications like infection and malocclusion, indicating that 3-D fixation offers improved stability and function.

Article Abstract

Introduction Mandibular angle fractures can be treated by various methods, but even the most popular methods may not be able to give satisfactory results, as the pterygomasseteric sling and masticatory forces can result in displaced angle fracture. These displaced fragments cannot be satisfactorily retained by single miniplate fixation. The aim of this study is to assess treatment of displaced angle fracture with 3-D miniplate fixation. This study can also be considered as a therapeutic study with level V evidence. Materials and Methods This study was designed to assess the feasibility of 3-D matrix miniplate fixation in displaced angle fractures. Eighteen patients with displaced angle fractures were included in this study. Matrix miniplate fixation was done transorally under general anesthesia. Results All these cases were treated successfully, and common complications like infection (5.5% of patients), wound dehiscence (11%), paresthesia (16.7%), and malocclusion (11%) were observed in our study. Conclusions Three-dimensional miniplate fixation in displaced angle fractures provides better stability and function.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699239PMC
http://dx.doi.org/10.1055/s-0032-1332211DOI Listing

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