scholarly journals A Prospective Study of Strut versus Miniplate for Fractures of Mandibular Angle

2013 ◽  
Vol 6 (3) ◽  
pp. 191-196 ◽  
Author(s):  
Amy S. Xue ◽  
John C. Koshy ◽  
Erik M. Wolfswinkel ◽  
William M. Weathers ◽  
Kristina P. Marsack ◽  
...  
Keyword(s):  
Mandibular Angle ◽  
Patient Demographics ◽  
Mandibular Angle Fracture ◽  
Plate Group ◽  
Angle Fracture ◽  
Significant Difference ◽  
Comminuted Fractures ◽  
Angle Fractures ◽  
A Prospective Study ◽  
To Receive

This prospective randomized clinical trial compared the treatment outcomes of strut plate and Champy miniplate in fixation of mandibular angle fractures. Patients with mandibular angle fracture were consented and enrolled into this study. Exclusion criteria include patients with severely comminuted fractures. The patients were randomly assigned to receive the strut plate or Champy miniplate for angle fracture fixation. Patient demographics, fracture characteristics, operative and postoperative outcomes were collected prospectively. Statistical analysis was performed to evaluate the significance of the outcome. A total of 18 patients were included in this study and randomly assigned to receive either the strut plate or Champy miniplate. Out of which five patients were excluded postoperatively due to complex fracture resulting in postoperative maxillomandibular fixation. The final enrollment was 13 patients, N = 6 (strut) and N = 7 (Champy). There was no statistically significant difference in the pretreatment variables. Nine of these patients had other associated facial fractures, including parasymphyseal and subcondylar fractures. Most of the (11) patients had sufficient follow-up after surgery. Both groups exhibited successful clinical unions of the mandibular angle fractures. The complications associated with the mandibular angle were 20% in the strut plate group and 16.7% in the Champy group. One patient in the strut plate group had a parasymphyseal infection, requiring hardware removal. The strut plate demonstrated comparable surgical outcome as the Champy miniplate. It is a safe and effective alternative for management of mandibular angle fracture.

scholarly journals Comparative Evaluation between Single Noncompression Miniplate and Two Noncompression Miniplates in the Treatment of Mandibular Angle Fractures

2019 ◽  
Vol 12 (2) ◽  
pp. 122-127 ◽  
Author(s):  
Shubhamoy Mondal ◽  
Gaurav Singh ◽  
Madan Mishra ◽  
Amit Gaur ◽  
Abhinav Srivastava
Keyword(s):  
Comparative Evaluation ◽  
Wound Dehiscence ◽  
Mandibular Angle ◽  
Mandibular Angle Fracture ◽  
Intraoral Approach ◽  
Group I ◽  
Angle Fracture ◽  
Significant Difference ◽  
Angle Fractures ◽  
Superior Border

This study was conducted to compare the outcome of single noncompression miniplate versus two noncompression miniplates in the treatment of mandibular angle fracture. A total of 40 patients were divided into two groups: Group I ( n = 20), patients were treated by single miniplate at superior border of mandible by intraoral approach; Group II ( n = 20), patients were treated by one miniplate at superior border of mandible, intraorally, and another at the lateral aspect of angle, transbuccally by trocar and cannula. Comparative evaluation was done at 1, 2, 4, 6, and 12 weeks and 6 months. The findings of this study suggest that there was no significant difference in postoperative complications (malocclusion, pain, swelling, infection, facial nerve injury, wound dehiscence, plate exposure) and bite force between the two groups.

scholarly journals Management of Mandibular Angle Fractures by Two Conventional 2.0-mm Miniplates: A Retrospective Study of 389 Patients

2016 ◽  
Vol 9 (3) ◽  
pp. 206-210 ◽  
Author(s):  
Giuseppe Spinelli ◽  
Davide Lazzeri ◽  
Francesco Arcuri ◽  
Domenico Valente ◽  
Tommaso Agostini
Keyword(s):  
Postoperative Complications ◽  
Internal Fixation ◽  
Complication Rate ◽  
Wound Dehiscence ◽  
Mandibular Angle ◽  
Outer Cortex ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Significant Difference ◽  
Angle Fractures

Fractures of the mandibular angle account for 23 to 42% of all facial fractures with a high complication rate (0–32%). Although the ideal treatment remains debatable, two main procedures are commonly used to manage the majority of mandibular angle fractures that are open reduction and internal fixation by a noncompression miniplate placed on the external oblique ridge with or without a second miniplate on the outer cortex. The purpose of this study was to describe our management of mandibular angle fractures by two noncompression miniplates placed on the outer cortex via a transbuccal approach. Medical records and radiographic examination of 389 patients (258 males [66.3%] and 131 females [33.7%]) operated from January 2000 to December 2012 were retrospectively reviewed. Postoperative complications including malocclusion, infection, wound dehiscence, nonunion, and reoperative surgery were recorded and analyzed. Fifty-three patients developed postoperative complications (overall complication rate: 13.6%). No significant difference was found in the complication rate by age and gender variables and regarding the interval between the trauma and the operation and the presence of the teeth in the line of fracture. A higher rate of complications was found among patients with alcohol/drug addiction and in patients with multiple-site involvement. The findings of this study suggest that the use of two transbuccal miniplates placed on the outer cortex for the internal fixation of mandibular angle fracture provided a low rate of complications. The global incidence of screw loosening, wound dehiscence, plate exposure, infection, reoperation, and plate removal were similar with the data reported in the literature with improved health outcomes, lower postoperative morbidity, and a faster return to normal life.

scholarly journals Qualitative and quantitative assessment of relationship between mandibular third molar and angle fracture on North Indian population: A clinico-radiographic study

2013 ◽  
Vol 07 (02) ◽  
pp. 212-217 ◽  
Author(s):  
Suresh Yadav ◽  
Shallu Tyagi ◽  
Naveen Puri ◽  
Prince Kumar ◽  
Puneet Kumar
Keyword(s):  
Third Molar ◽  
Indian Territory ◽  
Mandibular Angle ◽  
The North ◽  
Mandibular Angle Fracture ◽  
Mandibular Third Molar ◽  
Angle Fracture ◽  
Angle Fractures ◽  
Inferior Border ◽  
The Relationship

ABSTRACT Objective: To assess the relationship between impacted mandibular third molar presence and the risk for mandibular angle fracture with the effect of various positions of mandibular third molar and the risk of mandibular angle fracture. Materials and Methods: In the North Indian territory, a total of 289 patients with mandibular angle fractures were studied and evaluated for the possible relationship with impacted third molar on the basis of clinical and panoramic radiographical findings. Results: Results that confirmed the highest risk for mandibular angle fracture was associated with mesioangular angulations (45.42%) followed by vertical (26.34%), distoangular in sequence and least risk was found with bucco-version angulations (2.67%) according to Winter′s classification. Additionally, the highest risk of mandibular angle fracture was reported with partially erupted third molar (47.75%), followed by erupted (23.53%) and unerupted third molar (19.38%). Conclusion: The risk for mandibular angle fracture is not only affected by status of eruption, angulations, position, number of roots present in third molar but also by the distance of mandibular third molar from inferior border of mandible and the percentage of remaining amount of bone at the mandibular angle region.

scholarly journals Transoral Miniplate Fixation of Mandibular Angle Fracture with and without 2 Weeks of Maxillomandibular Fixation: A Clinical Trial Study

2013 ◽  
Vol 6 (2) ◽  
pp. 107-113 ◽  
Author(s):  
Kazem S. Khiabani ◽  
Meghdad Khanian Mehmandoost
Keyword(s):  
Facial Trauma ◽  
Mandibular Angle ◽  
Maxillomandibular Fixation ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Ideal Line ◽  
External Oblique ◽  
Angle Fractures ◽  
Sufficient Strength ◽  
Single Miniplate

Background and Objectives The ideal line of osteosynthesis in mandibular angle fractures indicates that a plate might be placed either along or just below the external oblique ridge. Some authors believe that using one miniplate at this line at the mandibular angle region provides sufficient strength to stabilize the fracture but others imply a second plate is required. Such controversies exist in the use of maxillomandibular fixation (MMF). The intention of the present study was to compare efficiency and complications of using one miniplate with and without MMF in mandibular angle fractures. Methods and Materials Forty patients with facial trauma with mandibular angle fractures including displaced and unfavorable fractures were categorized into two groups of 20 persons. In all patients, one miniplate was placed on the external oblique ridge. In the first group, patients had light maxillomandibular elastic bands just after surgery but no rigid MMF. In the second group, patients had rigid MMF for 2 weeks after surgery. Patients were followed to evaluate complications and treatment efficiency. Conclusions Our study showed that use of a single miniplate in the external oblique ridge is a functionally stable treatment for all types of angle fractures (including displaced and unfavorable fractures) except comminuted and long oblique fractures, which were not included in our study. Use of postoperative MMF did not improve the results.

APPLICATION STUDY OF CHAMPY’S TECHNIQUE IN SURGICAL TREATMENT OF MANDIBULAR ANGLE FRACTURE

2019 ◽  
pp. 93-100
Author(s):  
Minh Phuong Hoang ◽  
Tan Tai Tran ◽  
Hong Loi Nguyen ◽  
Van Minh Nguyen ◽  
Thi Phuong Dung Le
Keyword(s):  
Surgical Treatment ◽  
Postoperative Outcome ◽  
Mandibular Fractures ◽  
Success Rates ◽  
Mandibular Angle ◽  
Application Study ◽  
Facial Surgery ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Angle Fractures

Background: Angle mandibular fractures are among the most common traumatic injuries of the maxillofacial region. The optimal treatment modality for angle fractures remains controversial. The present study was designed to describe the clinical and radiographic features of patients who had suffered mandibular angle fractures and evaluate the postoperative outcome in patients treated for the Champy’s technique. Materials and methods: 32 patients with 32 fractures of the mandibular angle were treated by the Champy’s technique at the department of maxillo facial surgery of Hue University of Medicine and Pharmacy and Hue Central Hospital, from April 2018 to February 2019. Evaluating of results when patients were discharged from hospital, 3 and 6 months after surgery. Results: The majority of the patients were males (84.4%). The majority of angle fractures have unfavorable fractures (96.9%) and displaced fractures (68.7%). The most common symptoms were pain, throbbing pain, mouth limited opening, swelling, malocclusion. Panoramic radiographs plays an important role in diagnosis (96.9). The patients were treated successfully according to Champy’s principle of osteosynthesis. Conclusions: The Michelet – Champy’s technique for surgical treatment of mandibular angle fractures was simple, easy to use, had high success rates and few complications. Key words: mandibular angle fracture, Champy’s technique

125 The Fate of The Third Molar in The Line of a Mandibular Angle Fracture: A Retrospective Study at A Tertiary Centre

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Dattani ◽  
A Aslam ◽  
K McMillan
Keyword(s):  
Retrospective Study ◽  
Third Molar ◽  
Fracture Repair ◽  
Queen Elizabeth Hospital ◽  
Wisdom Tooth ◽  
Mandibular Angle ◽  
Tertiary Centre ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Angle Fractures

Abstract Aim: To evaluate the risk of complications associated with retaining or extracting an asymptomatic third molar in the line of an angle fracture. Aiming to seek a consensus whether third molars should be extracted or retained during surgical repair of mandibular angle fractures. Method A retrospective study was undertaken at the Queen Elizabeth Hospital, Birmingham. 150 patients across a span of three years underwent open reduction and internal fixation of mandibular angle fractures with third molar involvement. Patients were classified into two groups, tooth retention during angle fracture and tooth removal during angle fracture repair. Hospital records were evaluated to seek the rate of post-operative complications at follow-up Results 162 angle fractures were identified with ipsilateral wisdom teeth present. In 37 cases the wisdom tooth was removed during surgery. 6 complications (16.2%) occurred in this group necessitating a return to theatre. In 125 cases the wisdom tooth was left in-situ. Complications necessitating a return to theatre occurred in 14 cases (11.1%). Conclusions This study indicates that retention of wisdom tooth overall did not significantly increase the risk of complications associated with angle fractures (p = 0.42). Where wisdom tooth pathology was noted its retention was associated with complications requiring a return to theatre (X2=4.40, p = 0.036).

scholarly journals Effect of plate configuration on resistance in mandibular angle fractures

2020 ◽  
Vol 10 (1) ◽  
pp. 6-11
Author(s):  
Mehmet Emrah Polat ◽  
Hojjat Ghahramanzadeh Asl ◽  
Saim Yanık
Keyword(s):  
Experimental Study ◽  
Peak Load ◽  
Mandibular Angle ◽  
Peak Displacement ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Force Peak ◽  
Miniplate Osteosynthesis ◽  
Angle Fractures

Aim:  This in-vitro experimental study compared the biomechanical behaviors of three single-miniplate osteosynthesis configurations used in the treatment of mandibular angle fractures. Methodology: Twenty-one synthetic polyurethane hemimandible replicas including the medullar and cortical portions were used in this study. The replicas were divided randomly into three groups (n = 5/group). Data from the three groups were compared using analysis of variance and the Tamhane T2 test. P values < 0.05 were considered to indicate significance. The replicas in all groups were fixed with 7-mm-long self-tapping screws and 2.0-mm four-hole miniplates in three different configurations external oblique, lateral angulus superior and lateral angulus inferior configuration. Results: The replicas were tested on a servohydraulic apparatus, and the data were transmitted to a computer for analysis of peak displacement and peak force. Peak load and peak displacement did no differ significantly among the three groups.. Conclusion: This experimental study showed that the torsional forces resulting from the fixation of miniplates for the treatment of mandibular angle fracture did not differ among the three configurations tested.   How to cite this article: Polat ME, Ghahramanzadeh asl H, Yanık S. Effect of plate configuration on resistance in mandibular angle fractures. Int Dent Res 2020;10(1):6-11. https://doi.org/10.5577/intdentres.2020.vol10.no1.2   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals The Use of a Novel CAD-CAM Splint to Simplify Open Reduction and Internal Fixation of Mandibular Angle Fracture: A Technical Note

2020 ◽  
pp. 194338752090489
Author(s):  
Mrunalini Ramanathan ◽  
Elavenil Panneerselvam ◽  
Sriraam Kasi Ganesh ◽  
Krishna Kumar Raja
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Technical Note ◽  
Mandibular Angle ◽  
Intermaxillary Fixation ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Computer Aided ◽  
Digital Manipulation ◽  
Angle Fractures

Mandibular angle fractures are frequently encountered as they constitute an area of weakness. Complications after open reduction and internal fixation (ORIF) of angle fractures commonly arise due to improper reduction and fixation methods that fail to counteract the dynamic muscle forces present in this region. Conventional reduction methods such as digital manipulation, intermaxillary fixation, towel clip traction, and wiring are associated with various limitations. This technical note highlights the fabrication and use of a computer-aided designing/computer-aided manufacturing–generated splint for ORIF of a superiorly displaced mandibular angle fracture. The splint consisted of 2 components: (1) a distal tooth-borne component to guide the teeth into maximum intercuspation and (2) a proximal bone-borne component to reduce the angle fracture. This composite splint facilitates simultaneous restoration of occlusion as well as reduction of mandibular angle fractures. The advantages of this technique include the following: (1) easy fabrication of splint, (2) easy and precise anatomical reduction of angle fracture, and (3) less operative time.

scholarly journals Mandibular angle fracture due impacted third molar inclusion: case report

2016 ◽  
Vol 5 (4) ◽  
Author(s):  
Ellen Cristina Gaetti Jardim ◽  
Cassiano Costa Silva Pereira ◽  
Idelmo Rangel Garcia Junior ◽  
Elerson Gaetti-Jardim Junior ◽  
Julio Cesar Leite da Silva
Keyword(s):  
Rare Complication ◽  
Oblique Line ◽  
Third Molar ◽  
Mandibular Angle ◽  
Impacted Third Molar ◽  
Mandibular Angle Fracture ◽  
Angle Fracture ◽  
Molar Third ◽  
External Oblique ◽  
Angle Fractures

Mandibular angle region is enshrined in literature as a fragile area because of the third molar presence further when its impaction shaping up as a rare complication associated with more attempts to extraction of the tooth. Several factors influence the possibility of fracture as gender, age, degree of dental inclusion and presence of associated injuries. The best form of treatment depending on the case is surgical, consisting of placing the intraosseous fixing devices. The purpose of facilitated and a conservative approach for the treatment of fractures of mandibular angle is displayed. Also, demystify the contraindication of intraoral access for cases of unfavorable fractures to displacement. This study, in addition, been reports two clinical cases of mandibular angle fractures in the presence of a third included molar treated by means of intraoral access set by Champy technique of external oblique line with the use of single board in office dental. Results: This approach is well suited to cases with little displacement of the fracture line and when the patient shows collaborator. This technique as well as fast, reduces spending on hospital besides reducing postoperative sequelae because it prevents the need for extra-oral access.Descriptors: Fracture Fixation; Therapeutics; Anesthesia, Local; Molar, Third.

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