Comparison between Two Computer Designed Custom Made Miniplates for The Treatment of Mandibular Angle Fractures

Authors

Aya Ahmed, Demonstrator at Oral and Maxillofacial Surgery Department, Faculty of Oral and Dental Surgery, Misr University for Science and Technology, Cairo, EgyptFollow
Susan Hassan, Professor of Oral and Maxillofacial Surgery, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, EgyptFollow
Fatma Mohamed, Professor and Head of Oral and Maxillofacial Surgery Department, Faculty of Dental Medicine, Deraya University, Menya, EgyptFollow
Usama El Dakrory, Lecturer of Oral and Maxillofacial Surgery, Faculty of Oral and Dental Medicine, Misr University for Science and Technology, Cairo, EgyptFollow

Corresponding Author

Ahmed, Aya

Document Type

Original Study

Abstract

Purpose: To evaluate the clinical and radiographic outcomes of mandibular angle fractures (MAF), which were managed with two different computer designed custom made miniplates. Materials and Methods: Eight patients complaining of MAF were included in this study and divided into two equal groups. In group 1, the MAF were fixed with regular design custom made miniplates that were adapted at the superior border of external oblique ridge. Patients in group 2 received custom made miniplates with one straight section adapted to the superior border of external oblique ridge and two lateral extensions adapted to the buccal cortex; proximal and distal to the fracture line. Reduction and fixation were performed through intraoral approach. Preoperative evaluation comprised assessment of subjective pain using a visual analogue scale (VAS), maximal interincisal opening (MIO), occlusal relation, maximal bite-force (MBF), and radiographic measures of fractured segments displacement. Follow up was performed along 6 months to detect changes in the same preoperative parameters. Demographic, clinical, and radiographic data were recorded and analyzed statistically. Results: No statistical significant difference was observed between the two computer designed custom made miniplate designs. Conclusion: Using a traditional and modified design custom-made miniplate, MAF may be appropriately managed. The newly designed miniplate is considered a treatment modality in management of MAF.

Keywords

Custom made miniplate; Patient specific plate; mandibular angle fractures

How to Cite This Article

Ahmed, Aya; Hassan, Susan; Mohamed, Fatma; and El Dakrory, Usama (2022) "Comparison between Two Computer Designed Custom Made Miniplates for The Treatment of Mandibular Angle Fractures," Al-Azhar Journal of Dentistry: Vol. 9: Iss. 4, Article 12.
DOI: https://doi.org/10.21608/adjg.2022.104155.1453

Subject Area

Oral Medicine and Surgical Sciences Issue (Oral Medicine, Oral and Maxillofacial Surgery, Oral Pathology, Oral Biology)