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العنوان
Single 2.3 reconstruction plate versus two miniplates
In the treatment of mandibular fractures
(randomized clinical trial) /
المؤلف
Salem, Malak Mohamed Said.
هيئة الاعداد
باحث / ملك محمد سعيد سالم
مشرف / جعفر نبيل أحمد الحلوانى
مشرف / أحمد أحمد شرارة
مشرف / ناجى البرنس حسن
مشرف / محمود السيد خليفة
الموضوع
Department of Oral and Maxillofacial Surgery.
تاريخ النشر
2021.
عدد الصفحات
118p+2:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
طب الأسنان
تاريخ الإجازة
1/1/2021
مكان الإجازة
جامعة الاسكندريه - كلية طب الاسنان - Oral and Maxillofacial surgery
الفهرس
Only 14 pages are availabe for public view

from 139

from 139

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.