Abru Fatima, Muhammad Nadeem, Aneela Amjad, Saba Saleem, Uzair Bin Akhtar, Komal Akram.
Comparison of 3D Titanium Miniplate versus Conventional 2D Miniplate Fixation in the Management of Isolated Mandibular Angle Fractures.
J Sharif Med Dent Coll Jan ;7(02):61-5.

Objective: To compare 3D titanium miniplate versus conventional 2D miniplate fixation in the management of isolated mandibular angle fractures in the context of occlusion. Methodology: It was a cross-sectional comparative study conducted in the Department of Oral & Maxillofacial Surgery, Sharif Medical City Hospital, Lahore from April to October 2020. After meeting the inclusion criteria, 90 patients were enrolled by convenient sampling technique. Patients were divided into two groups and each group included 45 patients. Patients in group A were treated with 3D miniplate placement on the lateral cortex following the principle of 3D fixation of Farmand and Dupoirieux whereas group B patients were treated with 2D conventional miniplate placed along Champy's line of ideal osteosynthesis. After the procedure, patients were admitted to the ward for three days. All patients were examined at 2nd postoperative month to assess posttreatment occlusion. Results: Mean age of the patients was 34.04+/-12.19 years. Seventy seven (85.56%) patients were males, and 13(14.44%) patients were females. In the 3D plate group, occlusion was achieved in 38(84.4%) patients, and in the 2D plate group, the outcome was achieved in 29(64.4%) patients. A statistically significant difference (p-value=0.030) was found when posttreatment occlusion was compared in both groups at the 2nd postoperative month. Conclusion: This study concluded that 3D titanium miniplate showed significantly better occlusion as compared to conventional 2D miniplate fixation in the management of isolated mandibular angle fractures. Keywords: Mandible. Titanium miniplate. Conventional miniplate.

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