Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures?
Objectives: Mandible is an integral part of masticatory system, and it is expected that it’s fracture will have a significant impact on occlusal forces, range of motion, muscle activity levels, and occlusion. The main objective of this study was to compare the efficacy of 3-dimensional (3D) miniplat...
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Elsevier
2022-11-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426822001257 |
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| author | Shital Patel Kruna Bhimani Roma Narsingyani Zenish Bhatti Rajan Savani |
| author_facet | Shital Patel Kruna Bhimani Roma Narsingyani Zenish Bhatti Rajan Savani |
| author_sort | Shital Patel |
| collection | DOAJ |
| description | Objectives: Mandible is an integral part of masticatory system, and it is expected that it’s fracture will have a significant impact on occlusal forces, range of motion, muscle activity levels, and occlusion. The main objective of this study was to compare the efficacy of 3-dimensional (3D) miniplate and conventional miniplates for fixation of anterior mandibular fractures on the basis of bite force as a main parameter. Methods: 66 patients having isolated anterior mandibular fractures were randomized into two groups equally: Conventional miniplates and 3D miniplates. The bite force at incisor, canine, and molar regions was measured preoperatively and postoperatively at weekly intervals until the sixth week, and the mean bite force as well as changes in mean bite force were compared between two groups. Results: An increase in bite force was noted at each subsequent follow up in both the groups across all sites. Statistically significant difference was found in mean bite force values between both the groups during mid-follow up period. The difference in changes in the mean bite force too was observed to be statistically significant during the mid to late follow up period. Interpretation & conclusion: Bite force is a reliable parameter to assess restoration of masticatory efficiency following open reduction and internal fixation (ORIF). 3D miniplates when used in anterior mandibular fractures management are efficient enough to withstand masticatory forces throughout the healing process, providing better stability of fractured segments against torsional forces during immediate post-operative period. |
| format | Article |
| id | doaj-art-d1d5c1d6578446fcb24610fc20c9efdf |
| institution | DOAJ |
| issn | 2212-4268 |
| language | English |
| publishDate | 2022-11-01 |
| publisher | Elsevier |
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| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-d1d5c1d6578446fcb24610fc20c9efdf2025-08-20T02:50:27ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-11-0112677778110.1016/j.jobcr.2022.09.004Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures?Shital Patel0Kruna Bhimani1Roma Narsingyani2Zenish Bhatti3Rajan Savani4Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College and Hospital, Ahmedabad, IndiaCorresponding author. 306, Candle Madhav co.op.hsg.soc.ltd, Near-Golden Point, GIDC, Ankleshwar, 393002, India.; Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College and Hospital, Ahmedabad, IndiaDepartment of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College and Hospital, Ahmedabad, IndiaDepartment of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College and Hospital, Ahmedabad, IndiaDepartment of Oral and Maxillofacial Surgery, Ahmedabad Municipal Corporation Dental College and Hospital, Ahmedabad, IndiaObjectives: Mandible is an integral part of masticatory system, and it is expected that it’s fracture will have a significant impact on occlusal forces, range of motion, muscle activity levels, and occlusion. The main objective of this study was to compare the efficacy of 3-dimensional (3D) miniplate and conventional miniplates for fixation of anterior mandibular fractures on the basis of bite force as a main parameter. Methods: 66 patients having isolated anterior mandibular fractures were randomized into two groups equally: Conventional miniplates and 3D miniplates. The bite force at incisor, canine, and molar regions was measured preoperatively and postoperatively at weekly intervals until the sixth week, and the mean bite force as well as changes in mean bite force were compared between two groups. Results: An increase in bite force was noted at each subsequent follow up in both the groups across all sites. Statistically significant difference was found in mean bite force values between both the groups during mid-follow up period. The difference in changes in the mean bite force too was observed to be statistically significant during the mid to late follow up period. Interpretation & conclusion: Bite force is a reliable parameter to assess restoration of masticatory efficiency following open reduction and internal fixation (ORIF). 3D miniplates when used in anterior mandibular fractures management are efficient enough to withstand masticatory forces throughout the healing process, providing better stability of fractured segments against torsional forces during immediate post-operative period.http://www.sciencedirect.com/science/article/pii/S2212426822001257Anterior mandibular fracturesConventional and 3D miniplateMaximum bite forceORIF |
| spellingShingle | Shital Patel Kruna Bhimani Roma Narsingyani Zenish Bhatti Rajan Savani Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures? Journal of Oral Biology and Craniofacial Research Anterior mandibular fractures Conventional and 3D miniplate Maximum bite force ORIF |
| title | Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures? |
| title_full | Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures? |
| title_fullStr | Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures? |
| title_full_unstemmed | Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures? |
| title_short | Is “Bite force” a reliable parameter to compare masticatory efficiency restoration following ORIF of anterior mandibular fractures? |
| title_sort | is bite force a reliable parameter to compare masticatory efficiency restoration following orif of anterior mandibular fractures |
| topic | Anterior mandibular fractures Conventional and 3D miniplate Maximum bite force ORIF |
| url | http://www.sciencedirect.com/science/article/pii/S2212426822001257 |
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