Harby, M., Elsheikh, S., Noureldin, M. (2023). RECTANGULAR GRID MINIPLATE VERSUS TWO CONVENTIONAL MINIPLATES FOR TREATMENT OF MANDIBULAR ANGLE FRACTURES (RANDOMIZED CLINICAL TRIAL). Alexandria Dental Journal, 48(2), 87-94. doi: 10.21608/adjalexu.2022.139117.1279
Mohamed Ibrahim Harby; Samraa A. Elsheikh; Marwa Gamal Noureldin. "RECTANGULAR GRID MINIPLATE VERSUS TWO CONVENTIONAL MINIPLATES FOR TREATMENT OF MANDIBULAR ANGLE FRACTURES (RANDOMIZED CLINICAL TRIAL)". Alexandria Dental Journal, 48, 2, 2023, 87-94. doi: 10.21608/adjalexu.2022.139117.1279
Harby, M., Elsheikh, S., Noureldin, M. (2023). 'RECTANGULAR GRID MINIPLATE VERSUS TWO CONVENTIONAL MINIPLATES FOR TREATMENT OF MANDIBULAR ANGLE FRACTURES (RANDOMIZED CLINICAL TRIAL)', Alexandria Dental Journal, 48(2), pp. 87-94. doi: 10.21608/adjalexu.2022.139117.1279
Harby, M., Elsheikh, S., Noureldin, M. RECTANGULAR GRID MINIPLATE VERSUS TWO CONVENTIONAL MINIPLATES FOR TREATMENT OF MANDIBULAR ANGLE FRACTURES (RANDOMIZED CLINICAL TRIAL). Alexandria Dental Journal, 2023; 48(2): 87-94. doi: 10.21608/adjalexu.2022.139117.1279
RECTANGULAR GRID MINIPLATE VERSUS TWO CONVENTIONAL MINIPLATES FOR TREATMENT OF MANDIBULAR ANGLE FRACTURES (RANDOMIZED CLINICAL TRIAL)
1Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
2Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Egypt.
3Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
Abstract
Introduction: Mandibular fracture is the most common type of trauma with various fixation modalities. One of these modalities is the use three-dimensional miniplates (3D) miniplate system. Objectives: To compare the efficacy of rectangular grid miniplate with two standard miniplates in the management of mandibular angle fractures. Materials and methods: Fourteen patients were randomly divided into two groups each including seven patients. Group A received Rectangular grid miniplate, and group B received two conventional miniplates. Clinical assessment visits are scheduled after 24 hours, one, four, six, and twelve weeks. A radiographic examination was done after twelve weeks to calculate the average bone density along line of fracture. Result: After twelve weeks, both groups had normal occlusion, no wound infection or dehiscence, normal sensory function and a statistically significant reduction in pain intensity (p < 0.001). The average bone density improved statistically significantly in both groups A (p < 0.001) and B (p < 0.001) when comparing post-operative 12 week values to pre-operative values. Conclusion: Rectangular grid miniplate in mandibular angle fractures fixation provides a predictable and stiff fixation option that can withstand functional loads and allow early return of patients normal life.
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