Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures
Aims: The study aims to enhance the patient’s quality of life by assessing and contrasting the effectiveness of traditional miniplates and double Y-shaped titanium plates in the treatment of mandibular anterior fractures. Method: Ten patients with anterior mandibular fractures participated in the st...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_541_24 |
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| author | Swastika Srivastava R. Balakrishnan |
| author_facet | Swastika Srivastava R. Balakrishnan |
| author_sort | Swastika Srivastava |
| collection | DOAJ |
| description | Aims:
The study aims to enhance the patient’s quality of life by assessing and contrasting the effectiveness of traditional miniplates and double Y-shaped titanium plates in the treatment of mandibular anterior fractures.
Method:
Ten patients with anterior mandibular fractures participated in the study and were randomly divided into two groups (Group A and Group B). The arch bar was inserted once the patient was prepared, and IMF was performed as necessary. An intraoral vestibular incision was made to expose and reduce the fracture site, leaving a 5 mm gingival cuff in place. Group A received fixation using 2 mm double Y-shaped titanium plates and 2 * 8 mm titanium screws, while Group B received fixation using two conventional miniplates and 2 * 8 mm titanium screws. Metrogyl wash was administered, and closure was achieved using 3.0 Vicryl, ensuring sufficient hemostasis. After 48 hours, Dynaplast was used to stabilize the fixation, and IMF was released.
Result:
Clinical and radiographic parameters like pain scale, neurosensory dysfunction, wound problems, fracture line width, teeth related to fracture line, and healing progression were assessed at immediate postop, 3 months, and 6 months intervals. Pain was reduced similarly till 3 months where Group A did not report pain at 6 months showing significant differences. On assessing neurosensory disturbance, Group A showed superior difference (p 0.03*). Wound healing, stability of fractured segments, fracture reduction, teeth related to fracture line, and healing improvement were adequate in both groups.
Conclusion:
Our study concluded that the use of double Y-shaped titanium plate provides a promising and alternative technique over conventional in the management of anterior mandibular fractures. |
| format | Article |
| id | doaj-art-a84e063f14ef44889bd4f88d714915f5 |
| institution | Kabale University |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-a84e063f14ef44889bd4f88d714915f52025-01-12T14:18:58ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3308S331010.4103/jpbs.jpbs_541_24Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular FracturesSwastika SrivastavaR. BalakrishnanAims: The study aims to enhance the patient’s quality of life by assessing and contrasting the effectiveness of traditional miniplates and double Y-shaped titanium plates in the treatment of mandibular anterior fractures. Method: Ten patients with anterior mandibular fractures participated in the study and were randomly divided into two groups (Group A and Group B). The arch bar was inserted once the patient was prepared, and IMF was performed as necessary. An intraoral vestibular incision was made to expose and reduce the fracture site, leaving a 5 mm gingival cuff in place. Group A received fixation using 2 mm double Y-shaped titanium plates and 2 * 8 mm titanium screws, while Group B received fixation using two conventional miniplates and 2 * 8 mm titanium screws. Metrogyl wash was administered, and closure was achieved using 3.0 Vicryl, ensuring sufficient hemostasis. After 48 hours, Dynaplast was used to stabilize the fixation, and IMF was released. Result: Clinical and radiographic parameters like pain scale, neurosensory dysfunction, wound problems, fracture line width, teeth related to fracture line, and healing progression were assessed at immediate postop, 3 months, and 6 months intervals. Pain was reduced similarly till 3 months where Group A did not report pain at 6 months showing significant differences. On assessing neurosensory disturbance, Group A showed superior difference (p 0.03*). Wound healing, stability of fractured segments, fracture reduction, teeth related to fracture line, and healing improvement were adequate in both groups. Conclusion: Our study concluded that the use of double Y-shaped titanium plate provides a promising and alternative technique over conventional in the management of anterior mandibular fractures.https://journals.lww.com/10.4103/jpbs.jpbs_541_24double y-shaped titanium platemandibular fracturesnerve injurypain scalestraight miniplate |
| spellingShingle | Swastika Srivastava R. Balakrishnan Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures Journal of Pharmacy and Bioallied Sciences double y-shaped titanium plate mandibular fractures nerve injury pain scale straight miniplate |
| title | Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures |
| title_full | Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures |
| title_fullStr | Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures |
| title_full_unstemmed | Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures |
| title_short | Comparative Assessment of Double Y-Shaped Versus Conventional Miniplates in Fixation of Mandibular Fractures |
| title_sort | comparative assessment of double y shaped versus conventional miniplates in fixation of mandibular fractures |
| topic | double y-shaped titanium plate mandibular fractures nerve injury pain scale straight miniplate |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_541_24 |
| work_keys_str_mv | AT swastikasrivastava comparativeassessmentofdoubleyshapedversusconventionalminiplatesinfixationofmandibularfractures AT rbalakrishnan comparativeassessmentofdoubleyshapedversusconventionalminiplatesinfixationofmandibularfractures |