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Two miniplate versus one large plate in the treatment of mandibular symphysis/body fracture

Author: 
Ateeq, M.A., Suresh Kumar, M., Konda Amarnath, Visalakshi, G.
Subject Area: 
Health Sciences
Abstract: 

Aim: To compare and evaluate the efficacy of two miniplate and one large plate in treatment of mandibular body and symphysis fractures. Materials and Methods: A Prospective cohort study was performed on patients who were surgically treated for mandibular fractures from the year 2015 to 2017. The primary predictor variable was fixation technique, which was conventional 2.0 two miniplates and one large plate with bicortical locking screws. The outcome variables were complications, stability and wound dehiscence. Results: Out of 20 cases 10 were included under Group A and 10 under Group B. In Group A patients were treated with two miniplates and in Group B patients were treated with one large plate. There were no statistically significant differences in occlusal or osseous healing outcomes. However, there were significant differences intreatment outcomes for several variables, including wound dehiscence, plate exposure, the need forplate removal, and tooth root damage between the groups. Conclusion: The use of 2 miniplates was associated with more postoperative complications than the use of 1 stronger plate, but both techniques produced sufficient stability for healing

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