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
1. Verfasser: Ellis, Edward, DDS, MSc
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container_end_page 1987
container_issue 7
container_start_page 1978
container_title Journal of oral and maxillofacial surgery
container_volume 69
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
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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. 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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><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. 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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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source MEDLINE; Elsevier ScienceDirect Journals
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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