Optimising Treatment Strategies: Labial versus Labio-inferior Plating Using Three-dimensional Miniplates for Mandibular Symphysis and Parasymphysis Fractures
Introduction: Many advanced techniques and materials have been introduced in recent years with the advent of new design technology for treating mandibular symphysis and parasymphysis fractures. This study was conducted to evaluate the post-operative stability of mandibular symphysis and parasymphysi...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Advances in Human Biology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/aihb.aihb_144_24 |
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| Summary: | Introduction:
Many advanced techniques and materials have been introduced in recent years with the advent of new design technology for treating mandibular symphysis and parasymphysis fractures. This study was conducted to evaluate the post-operative stability of mandibular symphysis and parasymphysis fractures when treated with three-dimensional (3D) miniplates positioned labio-inferiorly and labially.
Materials and Methods:
We piloted a prospective clinical study among 12 subjects of both genders with mandibular symphysis and parasymphysis fractures. We compared the 3D miniplates positioned labio-inferiorly and labially, dividing the subjects into two equal groups. The clinical parameters were evaluated both clinically and radiologically.
Results:
Enhanced rigidity was observed in both the superior and inferior borders of the mandible with labio-inferior plating in the current investigation. When subjected to masticatory forces, labio-inferior plating demonstrated superior rigidity compared to labial plating. In addition, the labio-inferior plate is equally effective as the 3D plate in addressing symphysis and parasymphysis fractures.
Conclusion:
This study compared labial and labio-inferior 3D miniplates for the fixation of mandibular symphyseal and parasymphyseal fractures. While the statistical results were not significant, the authors found labio-inferior miniplates particularly useful in treating comminuted fractures and fractures with open wounds. Therefore, we recommend the use of labio-inferior plates for comminuted mandibular symphyseal and parasymphyseal fractures, as well as for fractures associated with open wounds. |
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| ISSN: | 2321-8568 2348-4691 |