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58741

EVALUATION OF DYNAMIC COMPRESSION MINIPLATES IN TREATMENT OF MANDIBULAR ANGLE FRACTURES USING TROCAR

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Last updated: 22 Jan 2023

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Abstract

Introduction: Mandibular angle fractures (MAFs) account for 23% to 42% of all mandibular fractures. The frequent involvement of the angle in mandibular fractures can be attributed to its thin cross-sectional bone area and the presence of a third molar Objectives: The aim of this study was to evaluate clinically and radiologically the use of two dynamic compression miniplates in treatment of mandibular angle fractures using Trocar instrumentation Materials and methods: The study was conducted on ten patients diagnosed with a single mandibular angle fracture indicated for open reduction and internal fixation. The fracture was exposed through transoral vestibular incision and reduced under general anesthesia. Third molar tooth in the fracture line was extracted. Temporary Maxillomandibular fixation was done using 26gauge stainless steel wires with arch bars. One dynamic compression miniplate was fixed on the external oblique ridge. The second miniplate was fixed on the lower border of the mandible using Trocar instrumentation. Results: Pain, edema and trismus decreased significantly over the follow up period. Maximum interincisal mouth opening and bone density along the fracture line increased significantly over the follow up period. Five patients had parasthesia of the inferior alveolar and mental nerve preoperatively. The parasthesia decreased progressively from the fourth week. Postoperative panorama radiographs showed adequate reduction and increase in bone density along the fracture line. No postoperative complication occurred. Conclusion: Two 2.0 mm dynamic compression miniplates are suitable for treatment of mandibular angle fractures using Trocar instrumentation.

DOI

10.21608/adjalexu.2015.58741

Keywords

Dynamic compression miniplates, mandibular angle fractures, Trocar

Authors

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Last Name

Wakuloba

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Affiliation

Visiting resident, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

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First Name

A

Last Name

Mahallawy

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Affiliation

Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University

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Orcid

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First Name

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Last Name

Ragab

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Affiliation

Assistant Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University

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Volume

40

Article Issue

1

Related Issue

8614

Issue Date

2015-07-01

Receive Date

2019-11-13

Publish Date

2015-07-01

Page Start

86

Page End

93

Print ISSN

1110-015X

Online ISSN

2536-9156

Link

https://adjalexu.journals.ekb.eg/article_58741.html

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https://adjalexu.journals.ekb.eg/service?article_code=58741

Order

14

Type

Original Article

Type Code

1,057

Publication Type

Journal

Publication Title

Alexandria Dental Journal

Publication Link

https://adjalexu.journals.ekb.eg/

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Article

Created At

22 Jan 2023