Double Y-shaped miniplate versus standard miniplate in the management of mandibular fractures- A prospective clinical study Sadana Pushpjot1, Kaur Tejinder2,*, Bhullar Ramandeep Singh3, Dhawan Amit4, Kapila Sarika5 1Consultant, Oral and Maxillofacial Surgery, India 2Professor & H.O.D, Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 3Professor & Dean Academics, Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 4M.D.S, Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India 5Reader, Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India *Corresponding Author: Tejinder Kaur, Professor & H.O.D, Department of Oral and Maxillofacial Surgery, Sri Guru Ram Das Institute of Dental Sciences and Research, Amritsar, Punjab, India, Email: tkgumber@gmail.com
Online Published on 23 July, 2024. Abstract Aim & objective The present study aimed to evaluate and compare the efficacy of standard miniplate and Double Y-shaped miniplate in the management of mandibular fractures. Material & methods The present study was conducted in 16 patients, divided into two groups of 8 patients each (Group A: Fixation was done with Double- Y shaped miniplate and Group B: Fixation was done using standard miniplates). The preoperative assessment includedage, gender ,etiology of fracture, site of the fracture, occlusion status, degree of fracture displacement, neurosensory deficit and radiographic assessment. Intraoperative evaluation included assessment of plating time. Postoperative assessment of Pain, postoperative occlusion, clinical stability, mouth opening and neurosensory deficit was done clinically on 1st postoperative day, 7th day, 4th week, 6th week and 12th week. Radiographic evaluation was done at 1st postoperative day, subsequently at 1st month and 3rd month using orthopentomogram for assessing pattern of bone healing and fracture reduction. Results The average time taken for placement of Double Y-shaped miniplate (10.88±2.10 minutes) was significantly less when compared to standard miniplates(18.38±4.65 minutes). Statistically insignificant difference was seen in the mean radiographic bone density between both the groups and within each group. Conclusion Double Y-shaped miniplate fixation in mandibular fractures is a viable alternative to standard miniplate fixation with significantly less operating time, stable postoperative occlusion, lesser insertion of implant material and less trauma to periosteum. Top Keywords Double Y-shaped miniplate, Mandibular fractures, Standard miniplate, Radiographic bone density. Top |