Mahalakshmi, M (2017) Efficacy of Three Dimensional Titanium Miniplates over the Conventional Titanium Miniplates Osteosynthesis in the Management of Anterior Mandibular Fractures. Masters thesis, Adhiparasakthi Dental College and Hospital, Melmaruvathur.
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Abstract
BACKGROUND : There are many studies in the treatment of mandibular fractures that have been published. The two concept of osteosynthesis are semirigid and rigid fixation. To overcome the shortcomings of above techniques, three dimensional miniplates has been emerged. This study was designed to evaluate the efficacy of 3D titanium miniplate over champys miniplate in anterior mandibular fratures. AIM : The purpose of the study was to evaluate the clinical efficacy of 3-dimensional titanium miniplates in the management of anterior mandibular fractures by pain, occlusal stability, post operative infection, postoperative fragment rigidity, wound dehiscence and the outcomes were compared with that of conventional titanium miniplates MATERIALS AND METHODS : This study was done in 20 patients with anterior mandibular fractures. Group A consists of 10 patients in whom 3D plates were used for fixation while in Group B consists of other 10 patients, 4 holes Champy’s straight plates were used.The efficacy of 3D miniplate over Champy’s miniplate was evaluated RESULTS : There was significantly greater pain in Group B patients at 1stweek and 1st month when compared to Group A patients(Mann-Whitney U test). There was significant variation in pain between interval across each categories of Group A and Group B(kruskal-wallis test).The post operative infection, neurological deficit was statistically insignificant(chi-square test).There was no case presented with wound dehiscence. During postoperative evaluation occlusal stability and fragment rigidity were good in all 20 patients. CONCLUSION : The results of this study suggest that patients treated with3D plates showed a lesser post operative pain and carries low infection rate and lesser area of exposure.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | 3D miniplate, Champy’s miniplate, titanium miniplates, anterior mandibular fractures. |
| Subjects: | DENTAL > Oral and Maxillofacial Surgery |
| Depositing User: | Kambaraman B |
| Date Deposited: | 05 Jan 2018 03:20 |
| Last Modified: | 05 Jan 2018 03:20 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5231 |
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