79931

COMPARISON OF BONE HEALING AFTER THE USE OF A THREE DIMENSIONAL MINIPLATE AND A CONVENTIONAL MINIPLATE IN MANDIBULAR BODY OSTEOTOMY (AN EXPERIMENTAL STUDY)

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Oral and maxillofacial surgery

Abstract

Introduction: Mandibular fractures comprise most of the traumatic injuries treated by an oral and maxillofacial surgeon. The aim of fracture treatment is to restore the architecture and function of bone.  Many techniques for treating mandibular fractures have evolved over the years. The design of the three dimensional (3D) plate is conceptually that of 2 linear plates connected by reinforcing vertical struts providing greater resistance against gap opening at the inferior border with biting forces. Objectives: To compare histologically bone healing of mandibular body osteotomy after using either a 3D miniplate or conventional miniplates. Materials and methods: This study was conducted on twelve healthy dogs. An iatrogenic osteotomy defect was performed intra-orally between the mandibular 3rd and 4th premolars using a surgical micro reciprocating saw. The fragments will be reduced bimanually and stabilized:  Group A (six dogs): 3D miniplates. Group B (six dogs): conventional miniplates.  The dogs were euthanized at 2 and 6 weeks postoperatively and the osteotomy sites were excised, divided into three thirds (Tension Third, TT; Intermediary Third, IT; Compression Third, CT) and prepared for histological analysis. Results:The osteotomy site was completely filled with parallel-fibred bone, with more newly formed Haversian systems in Group A compared with Group B, bone repair did not reach the typical aspects of the parent lamellar bone. The percentages of newly formed bone at 2 weeks in group A according to thirds (TT, IT and CT) that reported have a statistically significant difference in comparison with group B. At 6 weeks, there were no statistically significant differences between the two groups among the TT and CT but there was a statistically significant difference (p4 = 0.039) in the IT. Conclusions: 3-D plates could be a better option than conventional miniplates.

DOI

10.21608/adjalexu.2020.79931

Keywords

Mandibular fracture, 3-D plates, osteosynthesis, conventional miniplates

Authors

First Name

Mohamed

Last Name

Elrewany

MiddleName

M.

Affiliation

BDS, Faculty of Dentistry, Alexandria University.

Email

melrewany69@yahoo.com

City

-

Orcid

-

First Name

Ragab

Last Name

Hassan

MiddleName

S.

Affiliation

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

Email

-

City

-

Orcid

-

First Name

Ziad

Last Name

Mahmoud

MiddleName

T.

Affiliation

Lecturer of Oral and Maxillofacial Surgery, Faculty of Dentistry, Alexandria University.

Email

-

City

-

Orcid

-

First Name

Dina

Last Name

Nagui

MiddleName

A.

Affiliation

Lecturer of Oral Biology, Faculty of Dentistry, Alexandria.

Email

-

City

-

Orcid

-

Volume

45

Article Issue

1

Related Issue

12002

Issue Date

2020-04-01

Receive Date

2020-04-01

Publish Date

2020-04-01

Page Start

39

Page End

44

Print ISSN

1110-015X

Online ISSN

2536-9156

Link

https://adjalexu.journals.ekb.eg/article_79931.html

Detail API

https://adjalexu.journals.ekb.eg/service?article_code=79931

Order

7

Type

Original Article

Type Code

1,057

Publication Type

Journal

Publication Title

Alexandria Dental Journal

Publication Link

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

MainTitle

COMPARISON OF BONE HEALING AFTER THE USE OF A THREE DIMENSIONAL MINIPLATE AND A CONVENTIONAL MINIPLATE IN MANDIBULAR BODY OSTEOTOMY (AN EXPERIMENTAL STUDY)

Details

Type

Article

Created At

22 Jan 2023