الفهرس | Only 14 pages are availabe for public view |
Abstract The foremost common maxillofacial fractures, following nasal bone fractures, are mandibular fractures. As a result, several clinical studies were carried out in order to improve the techniques used, shorten the immobilization period, and improve rigid fixation. Rigid fixation with a single 2.3mm low-profile reconstructing bone plate near the lower border of the mandible is one of these modalities. Objectives: The purpose of this research is to compare clinical and radiological results of a single 2.3mm low-profile reconstruction plate osteosynthesis with that of two conventional miniplates. Materials and methods: Two groups of 7 patients each with a recent anterior mandibular fracture were formed. group A received treatment with a single 2.3mm low-profile reconstruction plate, while group B received treatment with two conventional miniplates. Clinical follow-up was performed after 24 hours, one week, four weeks, six weeks, and twelve weeks. In addition, a radiographic examination was carried out immediately after surgery and after twelve weeks to estimate the mean bone density across the fracture line. Result: After twelve weeks, all patients reported statistically significant reduction in pain levels over the course of the study (p<0.001). All individuals demonstrated a statistically significant improvement in their maximum mouth opening during the examination; P = 0.002 for group A and p<0.001 for group B. Occlusion was normal in both groups. Nonetheless, a postoperative wound infection occurred in one patient in group A, which was managed with antibiotics and adequate wound care. In group B, there were no wound infections. By comparing postoperative 12 weeks to immediate values, the average bone density has risen tremendously. But besides this, group A had a higher mean bone density (p<0.001) than group B (p=0.004). Conclusion: When compared to conventional two miniplates in anterior mandibular fracture therapy, a single non-locking low-profile reconstructing plate achieved equivalent results to a single locking low-profile reconstructing plate. A single low-profile non-locking reconstruction plate produced slightly better results than two conventional miniplates. |