A Study of 2 Bone Plating Methods for Fractures of the Mandibular Symphysis/Body
Purpose The purpose of this investigation was to evaluate outcomes for 2 bone plating techniques used in the treatment of mandibular symphysis/body fractures. Patients and Methods All patients with adequate records treated for fractures of the mandibular body or symphysis by 2 miniplates or 1 strong...
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Veröffentlicht in: | Journal of oral and maxillofacial surgery 2011-07, Vol.69 (7), p.1978-1987 |
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container_end_page | 1987 |
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container_issue | 7 |
container_start_page | 1978 |
container_title | Journal of oral and maxillofacial surgery |
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creator | Ellis, Edward, DDS, MSc |
description | Purpose The purpose of this investigation was to evaluate outcomes for 2 bone plating techniques used in the treatment of mandibular symphysis/body fractures. Patients and Methods All patients with adequate records treated for fractures of the mandibular body or symphysis by 2 miniplates or 1 stronger plate over an 11-year period were included. Demographic and outcome variables were collected and statistically analyzed to determine if the 2 treatments produced different outcomes. Results Six hundred eighty-two patients had sufficient follow-up for inclusion in this study. There were no significant differences in demographic data for the 2 groups. There were no statistically significant differences in occlusal or osseous healing outcomes. However, there were significant differences in treatment outcomes for several variables, including wound dehiscence, plate exposure, the need for plate removal, and tooth root damage between the groups. Conclusion The use of 2 miniplates was associated with more postoperative complications than the use of 1 stronger plate, but both techniques produced sufficient stability for healing. |
doi_str_mv | 10.1016/j.joms.2011.01.032 |
format | Article |
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Patients and Methods All patients with adequate records treated for fractures of the mandibular body or symphysis by 2 miniplates or 1 stronger plate over an 11-year period were included. Demographic and outcome variables were collected and statistically analyzed to determine if the 2 treatments produced different outcomes. Results Six hundred eighty-two patients had sufficient follow-up for inclusion in this study. There were no significant differences in demographic data for the 2 groups. There were no statistically significant differences in occlusal or osseous healing outcomes. However, there were significant differences in treatment outcomes for several variables, including wound dehiscence, plate exposure, the need for plate removal, and tooth root damage between the groups. Conclusion The use of 2 miniplates was associated with more postoperative complications than the use of 1 stronger plate, but both techniques produced sufficient stability for healing.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2011.01.032</identifier><identifier>PMID: 21549485</identifier><identifier>CODEN: JOMSDA</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Bone Plates ; Bone Screws ; Dentistry ; Device Removal ; Female ; Follow-Up Studies ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Fracture Healing - physiology ; Fractures, Ununited - etiology ; Humans ; Injuries of the limb. Injuries of the spine ; Jaw Fixation Techniques ; Male ; Malocclusion - etiology ; Mandible - surgery ; Mandibular Fractures - classification ; Mandibular Fractures - surgery ; Medical sciences ; Middle Aged ; Otorhinolaryngology. Stomatology ; Postoperative Complications ; Retrospective Studies ; Surgery ; Surgical Wound Dehiscence - etiology ; Surgical Wound Infection - etiology ; Tooth Avulsion - therapy ; Tooth Root - injuries ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of oral and maxillofacial surgery, 2011-07, Vol.69 (7), p.1978-1987</ispartof><rights>American Association of Oral and Maxillofacial Surgeons</rights><rights>2011 American Association of Oral and Maxillofacial Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-f7e8c1b9dbf2dbf9031aa58fdaf75f1ce27f3ca9b7866c74a7cc01816f4a51a43</citedby><cites>FETCH-LOGICAL-c440t-f7e8c1b9dbf2dbf9031aa58fdaf75f1ce27f3ca9b7866c74a7cc01816f4a51a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joms.2011.01.032$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24289270$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21549485$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ellis, Edward, DDS, MSc</creatorcontrib><title>A Study of 2 Bone Plating Methods for Fractures of the Mandibular Symphysis/Body</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose The purpose of this investigation was to evaluate outcomes for 2 bone plating techniques used in the treatment of mandibular symphysis/body fractures. Patients and Methods All patients with adequate records treated for fractures of the mandibular body or symphysis by 2 miniplates or 1 stronger plate over an 11-year period were included. Demographic and outcome variables were collected and statistically analyzed to determine if the 2 treatments produced different outcomes. Results Six hundred eighty-two patients had sufficient follow-up for inclusion in this study. There were no significant differences in demographic data for the 2 groups. There were no statistically significant differences in occlusal or osseous healing outcomes. However, there were significant differences in treatment outcomes for several variables, including wound dehiscence, plate exposure, the need for plate removal, and tooth root damage between the groups. Conclusion The use of 2 miniplates was associated with more postoperative complications than the use of 1 stronger plate, but both techniques produced sufficient stability for healing.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Bone Screws</subject><subject>Dentistry</subject><subject>Device Removal</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing - physiology</subject><subject>Fractures, Ununited - etiology</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Jaw Fixation Techniques</subject><subject>Male</subject><subject>Malocclusion - etiology</subject><subject>Mandible - surgery</subject><subject>Mandibular Fractures - classification</subject><subject>Mandibular Fractures - surgery</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical Wound Dehiscence - etiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Tooth Avulsion - therapy</subject><subject>Tooth Root - injuries</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUGL1DAYhoMo7uzqH_AguYinzuZLmiYFEXaXXRV2cWH0HNI0cVLbZkxaof_elBkVPAhfyOV5v4TnRegVkC0QqC67bReGtKUEYEvyMPoEbYAzKDjh7CnaECpkQVkNZ-g8pY5kkIvqOTqjwMu6lHyDHq_wbprbBQeHKb4Oo8WPvZ78-A0_2Gkf2oRdiPguajPN0aaVm_YWP-ix9c3c64h3y3DYL8mny-vQLi_QM6f7ZF-e7gv09e72y83H4v7zh083V_eFKUsyFU5YaaCp28bRfGrCQGsuXaud4A6MpcIxo-tGyKoyotTCGAISKldqDrpkF-jtce8hhh-zTZMafDK27_Vow5yUFAwoEC4zSY-kiSGlaJ06RD_ouCggahWpOrWKVKtIRfIwmkOvT-vnZrDtn8hvcxl4cwJ0Mrp3UY_Gp79cSWVNBcncuyNns4yf3kaVjLejsa2P1kyqDf7__3j_T9z0fvT5xe92sakLcxyzZgUqUUXUbq18bRwgt81rzn4Bl1qluA</recordid><startdate>20110701</startdate><enddate>20110701</enddate><creator>Ellis, Edward, DDS, MSc</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110701</creationdate><title>A Study of 2 Bone Plating Methods for Fractures of the Mandibular Symphysis/Body</title><author>Ellis, Edward, DDS, MSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-f7e8c1b9dbf2dbf9031aa58fdaf75f1ce27f3ca9b7866c74a7cc01816f4a51a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Bone Screws</topic><topic>Dentistry</topic><topic>Device Removal</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing - physiology</topic><topic>Fractures, Ununited - etiology</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Jaw Fixation Techniques</topic><topic>Male</topic><topic>Malocclusion - etiology</topic><topic>Mandible - surgery</topic><topic>Mandibular Fractures - classification</topic><topic>Mandibular Fractures - surgery</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical Wound Dehiscence - etiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Tooth Avulsion - therapy</topic><topic>Tooth Root - injuries</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ellis, Edward, DDS, MSc</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ellis, Edward, DDS, MSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Study of 2 Bone Plating Methods for Fractures of the Mandibular Symphysis/Body</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>69</volume><issue>7</issue><spage>1978</spage><epage>1987</epage><pages>1978-1987</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>Purpose The purpose of this investigation was to evaluate outcomes for 2 bone plating techniques used in the treatment of mandibular symphysis/body fractures. Patients and Methods All patients with adequate records treated for fractures of the mandibular body or symphysis by 2 miniplates or 1 stronger plate over an 11-year period were included. Demographic and outcome variables were collected and statistically analyzed to determine if the 2 treatments produced different outcomes. Results Six hundred eighty-two patients had sufficient follow-up for inclusion in this study. There were no significant differences in demographic data for the 2 groups. There were no statistically significant differences in occlusal or osseous healing outcomes. However, there were significant differences in treatment outcomes for several variables, including wound dehiscence, plate exposure, the need for plate removal, and tooth root damage between the groups. Conclusion The use of 2 miniplates was associated with more postoperative complications than the use of 1 stronger plate, but both techniques produced sufficient stability for healing.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21549485</pmid><doi>10.1016/j.joms.2011.01.032</doi><tpages>10</tpages></addata></record> |
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subjects | Adolescent Adult Biological and medical sciences Bone Plates Bone Screws Dentistry Device Removal Female Follow-Up Studies Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Fracture Healing - physiology Fractures, Ununited - etiology Humans Injuries of the limb. Injuries of the spine Jaw Fixation Techniques Male Malocclusion - etiology Mandible - surgery Mandibular Fractures - classification Mandibular Fractures - surgery Medical sciences Middle Aged Otorhinolaryngology. Stomatology Postoperative Complications Retrospective Studies Surgery Surgical Wound Dehiscence - etiology Surgical Wound Infection - etiology Tooth Avulsion - therapy Tooth Root - injuries Traumas. Diseases due to physical agents Treatment Outcome Young Adult |
title | A Study of 2 Bone Plating Methods for Fractures of the Mandibular Symphysis/Body |
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