Mandibular Fractures
Conditions
Brief summary
Different methods have been used in reducing mandibular fractures. Bone reduction forceps provides precise reduction and stabilize mandibular fracture segments.
Detailed description
The aim of this study is to evaluate clinically and radiographically the effect of using bone reduction forceps in the reduction of isolated mandibular fractures. 10 patients complaining of isolated mandibular fractures in need of open reduction and internal fixation underwent reduction using bone reduction forceps. The patients followed up clinically after 1 and 2 weeks, 1, 3, and 6 months postoperatively. Radiographic evaluation will be performed by computed tomography (CT) preoperatively, and cone-beam computed tomography (CBCT) will be done after 3 and 6 months
Interventions
Repositioning forceps provide a more accurate anatomical reduction and higher pre-compression can be achieved compared to IMF or manual reduction
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients aged from 20 to 45 years will be included. * Patients suffered from recent and uninfected. * Patients with isolated mandibular fractures.
Exclusion criteria
* Medically compromised patients that will be not fit for surgery. * Edentulous patients. * Non-displaced * Comminuted fracture with bone loss * Old fracture, more than 3 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in radiodensitometric measurements | at 3rd, 6th months | cone-beam computerized tomograms (CBCT) used to analyze the mean bone density at the site of fracture |
| change in maximal mouth opening | 1 week, 2 weeks, 1 month, 6 weeks, and 3 months | maximal interincisal opening between maxillary and mandibular central incisors. |
| change in occlusion | 1 week, 2 weeks, 1 month, 6 weeks, and 3 months | Any occlusal disturbance including open bite or improper tooth contact will be recorded |
| change in pain level | 1 week, 2 weeks, 1 month, 6 weeks, and 3 months | Pain: will be measured on Visual Analogue Scale (VAS). The patients will be asked to rate their postoperative pain on a 4-point scale (0= none, 1= slight, 2= moderate, 3- severe) |
Countries
Egypt