Evaluation of Efficacy of Three-dimensional Stainless Steel Mini-Plates in the Treatment of Fractures of the Mandible: A Prospective Study.

INTRODUCTION

The purpose of the study was to analyze whether adequate fracture fixation can be achieved by three-dimensional (3D) stainless steel mini-plates its ease of placement, whether the patient can resume function early and to find out the need to do intermaxillary fixation.

MATERIALS AND METHODS

In the prospective study, we treated 12 patients and 17 fractured sites using 3D mini-plates. Once fracture reduction was achieved temporary intermaxillary fixation (IMF) was done occlusion was achieved and the fractured segments were fixed using 3D plates either 4-holed or 6-holed of 2.5 mm thickness and 6-8 mm length screws. IMF was removed subsequently.

CONCLUSION

In none of the cases non-union or malocclusion was noted. Similarly except for 2 cases which had associated subcondylar fractures IMF was not done postoperatively. The patients were able to achieve function immediately with a reasonable level of success. The interincisal opening ranged from 18 to 23 mm in the first week to 40-56 mm after 1 month.