Efficacy of 3D Microplates in the Management of Anterior Mandibular Fractures: A Prospective Study.

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2025-06-01 Epub Date: 2025-04-23 DOI:10.1007/s12663-025-02526-z

Dinesh K Jhawar, N V V Reddy, Abhinand Potturi, Ritesh Rajan, Y W Bharath, Yashwanth Raj

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引用次数: 0

Abstract

Aim: To clinically evaluate the efficacy of 3D microplates for osteosynthesis for stabilization of anterior mandible fractures.

Material and methods: This prospective clinical study was conducted on a group of 20 patients who underwent open reduction for fractures of the anterior mandible and fixation using a 1.2-mm 8-holed titanium microplate. Patients were evaluated for various parameters like postoperative occlusion, radiographic accuracy of reduction and healing.

Results: Operating time ranged from 50 to 90 min depending on associated fractures. Out of 20 patients, 12 patients had condylar fractures, only 6 patients required postoperative MMF, and the other six exhibited satisfactory and stable postoperative dental occlusion. Mouth opening improved gradually. Only 4 patients had paraesthesia and wound dehiscence which resolved by the end of 1 month postoperatively.

Conclusion: 3D microplate system is easier method for fixation of mandibular fractures. The 3D microplate system provides good stability, and operating time is short because of simultaneous stabilization at both superior and inferior borders. The rate of complications is exceptionally low.

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三维微孔钢板治疗前下颌骨折的疗效：一项前瞻性研究。

目的：评价三维微孔钢板固定治疗下颌骨前骨折的临床疗效。材料和方法：本前瞻性临床研究对20例接受前下颌骨折切开复位并使用1.2 mm 8孔钛微孔板固定的患者进行研究。评估患者的各种参数，如术后闭塞，复位的x线片准确性和愈合。结果：手术时间为50 ~ 90min。在20例患者中，12例患者有髁突骨折，只有6例患者术后需要MMF，其他6例患者术后牙合满意且稳定。开口逐渐改善。仅有4例患者出现感觉异常和创面裂开，并于术后1个月愈合。结论：三维微孔板系统是一种较为简便的下颌骨骨折固定方法。三维微孔板系统稳定性好，上下边界同时稳定，操作时间短。并发症的发生率非常低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.