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Screw Retained Arch Bar Versus Conventional Erich's Arch Bar in Maxillomandibular Fixation

Not Applicable
Completed
Conditions
Mandibular Fractures
Interventions
Procedure: conventional Erich's Arch Bar
Procedure: screw retained arch bar
Registration Number
NCT05401994
Lead Sponsor
Mansoura University
Brief Summary

A randomized prospective clinical study to compare screw Retained Arch Bar and Conventional Erich's Arch Bar in Maxillomandibular Fixation

Detailed Description

2) Patients with non-pathological favorable or non-favorable fracture of mandible or maxilla that can be treated by MMF when acceptable occlusion can be obtained via bimanual reduction will be divided randomly into two equal groups: Group I: 10 patients will receive conventional Erich's arch bar. Group II: 10 patients will receive modified screw retained arch bar.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  1. The patients age ranges from 18 to 50 years.
  2. Patients with non-pathological favorable or non-favorable fracture of mandible or maxilla that can be treated by MMF when acceptable occlusion can be obtained via bimanual reduction.
  3. Patients medically free from any systemic disease that absolutely contraindicate the surgical procedures.
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Exclusion Criteria
    1. Edentulous ridge fracture. 2) Patients having primary and mixed dentition.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
conventional Erich's arch barconventional Erich's Arch Bar• Patients will receive conventional Erich's arch bar
Screw Retained Arch Barscrew retained arch barpatients will receive modified screw retained arch bar.
Primary Outcome Measures
NameTimeMethod
oral hygiene measuring with Oral Hygiene Index-Simplified (OHI-S)4-6 weeks

the OHI-S values range from 0 to 6.OHI-S score is good between 0 and 1.2, medium between 1.3 and 3, and poor between 3.1 and 6.

duration of surgical procedure in minutesintraoperative

Duration between the starting of fixation and complete fixation of fracture

maxillomandibular fixation stability in nominal scale(stable-unstable)4-6 weeks

stability after fixation

Secondary Outcome Measures
NameTimeMethod
number of iatrogenic injuriesintraoperative

iatrogenic injuries to teeth and gingiva

pain assessment using numeric rating scale (NRS)immediately postoperative

participants rated their pain on a scale from 0 to 10. The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable").

number of needle and wire stick injuriesintraoperative

injuries to the surgeon and the assistants.

Trial Locations

Locations (1)

Mansoura university

🇪🇬

Mansoura, Egypt

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