Titanium Miniplate Osteosynthesis Of Mandibular Fractures

Kumar, Naresh; Malhan, Sunil; Mahajan, Sunil; Asi, Kanwarjit Singh; Kapoor, Vinod
March 2012
Indian Journal of Dental Sciences;Mar2012, Vol. 4 Issue 1, p39
Academic Journal
The purpose of the study is to see the efficacy of Titanium bone plates in the treatment of mandibular fractures. Ten patients were selected randomly who reported to the Department of Oral and Maxillofacial Surgery, Punjab Government Dental College and Hospital, Amritsar. Titanium bone plates used were found to be bio - compatible, corrosive resistant, easily adaptable and versatile enough to be applied to any fracture site, giving excellent post operative results. Incidence of maxillofacial trauma has increased manifold with an increase in automobile accidents. Mandible being the mobile and exposed component of facial skeleton is highly susceptible to injury. The management of mandibular fractures is guided by certain basic dental and orthopaedic principles. These various principles are listed below: 1. Institutions of early specific treatment. 2. Three dimensional anatomic reduction of bone fragments. 3. Restoration of the premorbid occlusion. 4. Immobilisation of reduced and fixed unit until healing of fractured ends takes place. 5. Early, active and pain free mobilisation. 6. Prevention of infections, malunion or non-union of fracture. 7. Re-establishmant of Aesthetics. Different modes of treatment are used for the management of mandibular fractures. These are Maxillomandibular fixation, external pin fixation, lag screw fixation, intraosseous wiring, dynamic and excentric dynamic compression bone plates and screw systems, non- compression/ bicortical and more recently monocortical minibone plates and screw system. Monocortical plates and screws are much simpler and highly functional in their use. This concept devised and developed by Michelete- et al and Champy et al involves plates that are smaller in size, easily adaptable, versatile enough to be applied to any fractured site on account of variable shapes, offer stable fixation. The present study has been undertaken for clinical evaluation of management of fractured mandible by using titanium miniplates and screws in the patients reporting to department of Oral and Maxillofacial Surgery, Punjab Govt. Dental College &Hospital, Amritsar.


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