Evaluation Of Clinical Outcome Of Patients With Mandibular Angle Fractures Treated By Rectangular Grid Miniplate

Aim of the study: This study was conducted to evaluate the efficacy of rectangular grid 3-d miniplates in the treatment of mandibular angle fractures.Methods: The study included 10 patients with mandibular angle fractures. A 2mm X 4hole titanium rectangular grid Miniplate was used to fix the fracture. Intraoral approach for fracture reduction and Transbuccal approach were used for plate fixation. Patients were evaluated for Fracture stability, Occlusion, Mouth opening, Complications like infection, plate loosening, plate fracture, malunion on 7th post operative day, 1st month, and 3rd month postoperatively.Results:Only one patient had mild occlusal derangement at end of the follow-up period of 3 months. One patient developed post-operative infection on the 7th post-operative day which resolved on antibiotic therapy. No cases of hardware failure were reported. All the patients had adequate mouth opening at the end of follow-up period.Conclusion: The rectangular grid miniplates used in this study were stable for the treatment of simple mandibular angle fractures with sufficient interfragmentary contact. The patients also had minimal complications. The armamentarium needed and cost of the hardware is also low. Further clinical studies with larger sample size are required to arrive at a more comprehensive conclusion about these plates.

Comparison Between Buccal Pad Of Fat Graft And Collagen Membrane In Surgical Management Of Oral Submucous Fibrosis

Aims and objectives: To evaluate and compare the effectiveness of the buccal pad of Fat (BPF) and collagen membrane for the reconstruction of the defects secondary to the resection of the Fibrotic bands in oral submucous fibrosis (OSMF). Materials and methods: 20 patients of OSMF diagnosed clinically with mouth opening less than 25 mm were selected. Patients were divided into group I (BPF) and II (collagen membrane) of 10 patients each. After excision of the fibrotic bands, mouth opening was checked and if it was found to be < 35 mm, then bilateral coronoidectomy was carried out along with extraction of third molars. Results were compared within the parameters of maximal mouth opening (MMO), postoperative pain and duration taken for epithelialization. Result: Study showed statistically insignificant difference in the postoperative mouth opening and pain, significant difference in time taken for epithelisation. Conclusion: Present study indicates both BPF and Collagen membrane are versatile materials for the treatment of OSMF. Collagen membrane is superior to BPF in terms of time taken for epithelisation.