Hagar M. El-Sherif, Sherif Ali , Mostafa Talaat And Fahmy Mubarak ,
ABSTRACT
Objective: The Aim Of The Current Study Was To Compare Clinically The Maximum Interincisal
Mouth Opening After Reduction Of Angle Fracture Using Two Miniplates Versus Single (k) Shaped Plate.
Patients And Methods: Thirty-eight Patients With A Mandibular Angle Fracture Were Treated
Using Open Reduction And Internal Fixation Using Rigid Fixation. Patients Were Randomly Allocated
According To Method Of Fixation Into Two Groups. The Intervention Was Treated With (K) Shaped
Titanium Miniplate, While The Control Group Was Treated With Conventional Two Miniplates. Clinical
Evaluation Of Maximum Interincisal Mouth Opening Was Done At One Week, One Month And Three
Months Intervals.
Results: Statistical Analysis Was Performed Using SPSS (Statistical Package For The Social
Sciences- IBM? SPSS? Statistics Version 20 For Windows, IBM Corp., Armonk, NY, USA).
There Were No Statistically Significant Differences Between Both Groups In Maximal Mouth Opening
Measurements At The Different Observation Periods. But We Also Found That The Mouth Opening In
Single Fracture Site Group Showed Higher Values Than In Multiple Fracture Sites Group. This Difference
Was Statistically Significant After 1 Week And Three Months & It Occurred Faster In Intervention Group
(K Plate)
Conclusion: Both Methods Offered High Performance In Management Of Mandibular Angle
Fractures. However, (K) Plate Group Had Faster Return To Mouth Opening As (K) Plate Is A 3D
Single Plate. Its Insertion Needs Less Dissection Of Tissues & Less Operation Time Which Lead To Less
Postoperative Edema & Faster Regain Of Mouth Opening.