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Title: COMPARISON BETWEEN TITANIUM MINI PLATES VERSUS THREEDIMENSIONAL TITANIUM PLATES FOR FIXATION OF PALATAL FRACTURES
Authors: Naeem Mustafa, Kashif Ali Channar, Asfar Hussain, Bharti Kumari, Saleem, Ranjho Khan, Wasif Iqbal
Journal: The Research of Medical Science Review
| Category | From | To |
|---|---|---|
| Y | 2024-10-01 | 2025-12-31 |
Publisher: Innovative Education Research Institute
Country: Pakistan
Year: 2024
Volume: 2
Issue: 3
Language: English
Keywords: 3D titanium platesPalatal fracturesMini titanium platesMaxillofacial InjuriesAnatomical ReductionTitanium fixation.
OBJECTIVE: To compare the efficacy of 3-dimensional titanium plates versus mini titanium plates for the management of palatal fractures.METHODOLOGY: The randomized controlled trial was conducted in the Department of Dental Surgery at Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro. The sample of 106 patients (53 in each group) selected using non-probability consecutive sampling. Patients aged 18–45 years of either gender who presented with isolated palatal fractures or palatal fractures associated with other facial fractures were included in the study. Patients were divided into two groups via lottery method: Group A treated with three-dimensional titanium plates and Group B with conventional miniplates. Both groups underwent surgical fixation under general anesthesia. Postoperatively, patients were prescribed standard antibiotics and analgesics for three days and were monitored clinically and radiologically at intervals of one week, one month, and three months. Efficacy was assessed at the final visit, 12 weeks postoperatively. SPSS version 26.0 was used to analyse the statistical data. RESULTS: The mean age of the participants was noted as 30.13 ± 5.14 years in the 3-DTM group and 31.30 ± 5.51 years. Gender distribution showed that 90.6% male participants in the 3-DTM group and 81.1% in the CTM group, while female participation was 9.4% and 18.9%. The 3-DTM group demonstrated significantly higher efficacy, with 73.6% achieving successful outcomes compared to 34.0% in the CTM group. The odds ratio for efficacy with 3-DTM was 5.417 (95% CI: 2.352–12.476), and this difference was highly statistically significant (p = 0.0001).
CONCLUSION: The study demonstrated that 3D titanium plates were significantly more effective than mini titanium plates in stabilizing palatal fractures, ensuring better fracture stabilization, occlusal alignment, and anatomical reduction with fewer complications. More well-controlled prospective clinical trials are needed to validate the current findings. 
To compare the efficacy of 3-dimensional titanium plates versus mini titanium plates for the management of palatal fractures.
A randomized controlled trial was conducted in the Department of Dental Surgery at Liaquat University of Medical and Health Sciences (LUMHS), Jamshoro. 106 patients (53 in each group) aged 18-45 years with isolated or associated palatal fractures were included. Patients were divided into two groups: Group A treated with three-dimensional titanium plates and Group B with conventional miniplates. Both groups underwent surgical fixation under general anesthesia. Postoperative monitoring included clinical and radiological assessments at one week, one month, and three months. Efficacy was assessed 12 weeks postoperatively. SPSS version 26.0 was used for statistical analysis.
graph TD
A[Patient Recruitment 106 patients] --> B[Randomization];
B --> C[Group A: 3D Titanium Plates n=53];
B --> D[Group B: Conventional Miniplates n=53];
C --> E[Surgical Fixation General Anesthesia];
D --> E;
E --> F[Postoperative Monitoring Clinical & Radiological];
F --> G[Efficacy Assessment 12 weeks];
G --> H[Statistical Analysis SPSS v26.0];
H --> I[Conclusion];
3D titanium plates offer superior fracture stabilization, better occlusal alignment, and anatomical reduction with fewer complications compared to mini titanium plates for palatal fractures. While mini plates are flexible and minimize soft tissue irritation, 3D plates provide enhanced structural integrity and uniform stress distribution, leading to better outcomes, especially in complex fractures. However, the larger size of 3D plates can pose challenges in anatomically constrained areas.
The 3-dimensional titanium (3-DTM) group demonstrated significantly higher efficacy (73.6% successful outcomes) compared to the conventional titanium miniplate (CTM) group (34.0% successful outcomes). The odds ratio for efficacy with 3-DTM was 5.417 (95% CI: 2.352-12.476), with a p-value of 0.0001, indicating a highly statistically significant difference. The duration of the procedure was significantly shorter in the 3-DTM group (14.66 ± 1.09 minutes) compared to the CTM group (19.83 ± 1.22 minutes).
3D titanium plates are significantly more effective than mini titanium plates in stabilizing palatal fractures, leading to better fracture stabilization, occlusal alignment, and anatomical reduction with fewer complications. Further well-controlled prospective clinical trials are recommended to validate these findings.
1. Sample Size: The study included 106 patients, with 53 in each of the two treatment groups (3-DTM and CTM).
2. Efficacy Rates: The 3-DTM group achieved a 73.6% success rate, while the CTM group achieved a 34.0% success rate.
3. Procedure Duration: The mean procedure duration for the 3-DTM group was 14.66 ± 1.09 minutes, significantly shorter than the CTM group's 19.83 ± 1.22 minutes.
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