Comparison of improvement in bite forces in patients with lower jaw fractures between two different types of plating methods.

Phase 3

Not yet recruiting

Conditions: Fracture of mandible,

Registration Number: CTRI/2023/09/057215

Lead Sponsor: ALL INDIA INSTITUTE OF MEDICAL SCIENCES RAIPUR CG

Brief Summary: The mandible is the second most common fractured bone over the facial region after the nose. Road traffic accidents, assaults, and falls from height are common causes of mandibular fractures. Of about 15.1% of reported cases of anterior mandibular fractures, symphysis and parasymphysis fractures account for 2.85% and 12.16%, respectively. A fractured mandible undergoes compression, tension, and torsion due to different muscle forces. Mandibular fracture treatment aims to restore anatomical form and function and re-establish the occlusion, thereby improving the bite force. According to AO (Arbeitsgemeinschaft fÃ¼r Osteosynthesefragen), sufficient internal fixation hardware must be applied to resist the maximum forces of mastication. Recommendations for the amount of fixation hardware necessary to treat fractures of the mandible vary widelyâ€”the size of plates (thickness, length, number of holes). The diameter and length of screws, and the number of plates used for anterior mandible fractures differ from surgeon to surgeon. Measuring bite force is an excellent assessment criterion for restoring bony architecture and healing of masticatory soft tissue. Champy and colleagues advocated a modification of Micheletâ€™s miniplate osteosynthesis technique and described ideal lines of osteosynthesis. A standard protocol of osteosynthesis is to use two 4-hole mini plates in anterior inter-foraminal fractures. One at the tension zone and one at the compression zone. Disadvantages of miniplate usage include chances of buccolingual splaying and gap formation at the inferior border. Our study plans to assess the bite force primarily along with pain, swelling, stability and buccolingual splaying if one 4-hole plate was to be placed subapically and a 6-hole mini plate was placed at the inferior border.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 12

Inclusion Criteria

Patients above 14 years of age.
Anterior mandible fracture.

Exclusion Criteria

Comminuted/ Infected fractures Edentulous patients Fractures involving the maxilla, and other sites of the mandible.
Dentoalveolar fractures which may potentially affect the bite force.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Bite Force	24 hours 1 week 2 weeks & 4 weeks

Secondary Outcome Measures

Name	Time	Method
Pain	Occlusion

Trial Locations

Locations (1): All India Institute of Medical Sciences
🇮🇳
Raipur, CHHATTISGARH, India
All India Institute of Medical Sciences
🇮🇳Raipur, CHHATTISGARH, India
Dr Manish J Raghani
Principal investigator
9691562656
drmanishraghani@aiimsraipur.edu.in