EVALUATION OF BONE REDUCTION FORCEPS IN TREATMENT OF MANDIBULAR FRACTURES (A PROSPECTIVE CLINICAL AND RADIOGRAPHIC STUDY)

Document Type : Original Article

Authors

Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt

Abstract

Introduction: Mandibular fracture treatment aims to achieve adequate reduction of the fracture fragments and immobilize these fragments firmly to restore premorbid occlusion. With a repositioning forceps, an accurate anatomical reduction and better alignment of the fragments occurs that favors bone healing and diminish risks of complications.
Objectives: Evaluation of the effect of using bone reduction forceps in treatment of mandibular fractures clinically and radiographically.
Materials and Methods: A prospective study was done on ten patients complaining of displaced isolated mandibular fractures. Fracture reduction was done using bone reduction forceps then fixation by miniplates and screws. The patients were followed up clinically for 3 months postoperatively evaluating pain, facial edema, occlusal disturbances, maximal mouth opening and wound healing. Radiographic evaluation was performed by computed tomography preoperatively, and cone beam computed tomography was done after 3 and 6 months postoperatively. The results were calculated and statistically analysed to indicate the efficacy of using the forceps in treatment of displaced mandibular fracture.
Results: Clinically, all parameters evaluated were statistically significant along the follow up period (p value ≤0.05) except for pain that was only significant at 6th and 12th week in comparison to that of the first week. Radiographically, postoperative CBCT showed an increase in bone density in fracture site, the results were statistically significant at 3 and 6 months postoperatively as p value

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Alexandria Dental Journal
Volume 47, Issue 2
A (Oral and maxillofacial surgery, oral medicine, periodontology, oral radiology, oral pathology, oral biology)
August 2022
Pages 8-14

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