The role of 3D plating system in mandibular fractures: A prospective study

• Published in: Journal of Pharmacy and Bioallied Sciences
• Main Authors: Rajendra Prasad, Kavin Thangavelu, Reena John
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Subjects: 3D plates; mandible fractures; miniplates; lingual splay
• Online Access: http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2013;volume=5;issue=5;spage=10;epage=13;aulast=Prasad
• ISSN: 0975-7406; 0976-4879

Aim: The aim of our study was to evaluate the advantages and disadvantages of 3D plating system in the treatment of mandibular fractures. Patients and Methods: 20 mandibular fractures in 18 patients at various anatomic locations and were treated by open reduction and internal fixation using 3D plates. All patients were followed at regular intervals of 4 th , 8 th and 12 th weeks respectively. Patients were assessed post-operatively for lingual splay and occlusal stability. The incidence of neurosensory deficit, infection, masticatory difficulty, non-union, malunion was also assessed. Results: A significant reduction in lingual splay (72.2%) and occlusal stability (72.2%) was seen. The overall complication rate was (16.6%) which included two patients who developed post-operative paresthesia of lip, three patients had infection and two cases of masticatory difficulty which later subsided by higher antibiotics and 4 weeks of MMF. No evidence of non-union, malunion was noted. Conclusion: A single 3D 2 mm miniplate with 2 mm × 8 mm screws is a reliable and an effective treatment modality for mandibular fracture.